NPIMap

Organization Active NPI

Ascension Via Christi Hospital Pittsburg, Inc.

Doing business as Professional Services

  • Internal Medicine Physician
  • Pittsburg, KS
National Provider Identifier
1760408975
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ASCENSION VIA CHRISTI HOSPITAL PITTSBURG, INC.
Doing business as
Professional Services
Practice address
1 Mt. Carmel Way
Pittsburg, KS 66762-6643
Phone
(620) 235-7995
Fax
(620) 235-7913
NPI assigned
Jul 14, 2006
Last updated
Oct 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Charlotte Anne Russell
Title
Director
Phone
(620) 235-7926

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X
Occupational Health Nurse Practitioner 363LX0106X
Certified Registered Nurse Anesthetist 367500000X
Registered Dietitian 133V00000X
Anesthesiology Physician 207L00000X
Emergency Medicine Physician 207P00000X
Internal Medicine Physician 207R00000X Primary
Cardiovascular Disease Physician 207RC0000X
Hematology & Oncology Physician 207RH0003X
Obstetrics & Gynecology Physician 207V00000X
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
Physical Medicine & Rehabilitation Physician 208100000X
Psychiatry Physician 2084P0800X
Surgery Physician 208600000X

Addresses

Primary practice location

1 Mt. Carmel Way
Pittsburg, KS 66762-6643

Mailing address

1 Mt. Carmel Way
Pittsburg, KS 66762-6643
Phone (620) 235-7995

Other identifiers 4

IdentifierTypeStateIssuer
203406806MedicaidMO
100099300BMedicaidKS
4294OtherMOBCBS MISSOURI
014041OtherKSKANSAS

Other names 1

  • Professional Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000718 KS Part B Supplier - Clinic/Group Practice 0547171670 Receives reassigned benefits from 35 practitioners
Practice locations: Pittsburg, KS

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

200 E Centennial Dr
#B
Pittsburg, KS 66762
Phone (620) 231-1068

321 W 3rd St
Pittsburg, KS 66762
Phone (316) 231-1068

Practitioners & affiliated clinicians

Practitioners 105

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 105

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1760408975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MT. CARMEL WAY",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626643",
            "telephone_number": "620-235-7995",
            "fax_number": "620-235-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MT. CARMEL WAY",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626643",
            "telephone_number": "620-235-7995",
            "fax_number": "620-235-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION VIA CHRISTI HOSPITAL PITTSBURG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "620-235-7926"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203406806",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100099300B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MISSOURI",
            "identifier": "4294",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS",
            "identifier": "014041",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Professional Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburg, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.