NPIMap

Organization Active NPI

Commonspirit Kansas, Inc.

  • Orthopaedic Surgery Physician
  • Dodge City, KS
National Provider Identifier
1689386708
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
COMMONSPIRIT KANSAS, INC.
Practice address
112 W Ross Blvd Ste C
Dodge City, KS 67801-7220
Phone
(620) 371-6900
Fax
(620) 371-6364
NPI assigned
Dec 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Angela Jo Skinner
Title
Administrator
Phone
(720) 667-7283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

112 W Ross Blvd Ste C
Dodge City, KS 67801-7220

Mailing address

PO Box 803929
Kansas City, MO 64180-3929
Phone (888) 347-3295

Other identifiers 1

IdentifierTypeStateIssuer
30003913010040MedicaidKS

Other names 4

  • St Catherine Hospital Former legal business name
  • CommonSpirit Orthopedics Dodge City Other name
  • Orthopedics Dodge City Other name
  • SCDC ORTHOPEDICS Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050302000707 KS Part B Supplier - Clinic/Group Practice 4789595844 Receives reassigned benefits from 87 practitioners
34 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cimarron, KS; Ulysses, KS; Liberal, KS; Garden City, KS; Dodge City, KS

Other NPIs on the same Medicare enrollment 26

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 26

National Provider Directory

National Provider Directory
Tax ID family
St Catherine Home HLTH27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1689386708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 803929",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641803929",
            "telephone_number": "888-347-3295",
            "fax_number": "303-765-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W ROSS BLVD STE C",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678017220",
            "telephone_number": "620-371-6900",
            "fax_number": "620-371-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONSPIRIT KANSAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "720-667-7283"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003913010040",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Catherine Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "CommonSpirit Orthopedics Dodge City",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Orthopedics Dodge City",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SCDC ORTHOPEDICS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.