Samuel Bruce Aitchison, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

K15-02254 Issued in KS

Practice address

700 W Central Ave Ste 206
El Dorado, KS 67042-2186

Phone

(316) 452-5113

Fax

(316) 452-5694

NPI assigned

May 30, 2019

Last updated

Jan 13, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Susan B Allen Memorial HospitalGroup PAC ID 7719898980, 26 clinicians

Tanglewood Family Medical Center PAGroup PAC ID 7113911389, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Susan B Allen Memorial Hospital Hospital, El Dorado, KS, CCN 170017
• Rock Regional Hospital, LLC Hospital, Derby, KS, CCN 170204
• Wesley Medical Center Hospital, Wichita, KS, CCN 170123

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samuel.aitchison@directsbamh.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Susan B. Allen Memorial Hospital

  • General Practice Physician
  • El Dorado, KS
  • NPI 1164554820
  Medicare reassignment Care Compare group NPD
• Tanglewood Family Medical Center PA

  • Family Medicine Physician
  • Derby, KS
  • NPI 1659472306
  Medicare reassignment Care Compare group
• Susan B. Allen Memorial Hospital

  dba SBA Medical Group

  • Emergency Medical Services (Emergency Medicine) Physician
  • El Dorado, KS
  • NPI 1124594957
  NPD
• Susan B. Allen Memorial Hospital

  dba SBA Medical Group - Augusta

  • Family Medicine Physician
  • Augusta, KS
  • NPI 1922520832
  NPD
• ASC at Fho

  • Ambulatory Surgical Clinic/Center
  • Andover, KS
  • NPI 1881294171
  NPD (past)
• Flint Hills Orthopaedics Kansas City, LLC

  • Orthopaedic Surgery Physician
  • Overland Park, KS
  • NPI 1891389623
  NPD (past)
• Susan B. Allen Memorial Hospital

  dba SBA Urgent Care Clinic

  • Urgent Care Clinic/Center
  • El Dorado, KS
  • NPI 1588156574
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Susan B. Allen Memorial Hospital

  • General Acute Care Hospital
  • El Dorado, KS
  • NPI 1700994977
  Care Compare affiliation
• Wesley Medical Center LLC

  dba Wesley LifeWatch

  • Land Ambulance
  • Wichita, KS
  • NPI 1205760006

  Hospital

  Care Compare affiliation
• Wesley Medical Center LLC

  dba Wesley Medical Center

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1447299649
  Care Compare affiliation

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1750949368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W CENTRAL AVE",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670422184",
            "telephone_number": "316-452-5113",
            "fax_number": "316-452-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W CENTRAL AVE STE 206",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670422186",
            "telephone_number": "316-452-5113",
            "fax_number": "316-452-5694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 W Savage Ct",
            "address_purpose": "LOCATION",
            "city": "Andover",
            "state": "KS",
            "postal_code": "670027501",
            "country_code": "US",
            "telephone_number": "850-776-0422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AITCHISON",
        "first_name": "SAMUEL",
        "middle_name": "BRUCE",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-30",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "K15-02254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna G Ades, ARNP
• Advanced Practice Associates LLC
• Cassie Lee Agnew
• Air Capital Emergency Services, LLC
• Matthew Lee Aitchison, MPA, PA-C
• Alejandro a Vega MD PA
• Allison J. Sollo, P.a.
• Amy Seeber MD P a
• Curtis Michael Anderson
• Nolan Ryan Andrews, D.D.S.

• Physician Assistant in El Dorado, KS
• Providers in El Dorado, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.