Family Care Clinic of Western Kansas, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY CARE CLINIC OF WESTERN KANSAS, LLC

Practice address

200 W Ross Blvd
Dodge City, KS 67801-7221

Phone

(620) 371-7300

Fax

(620) 371-7304

NPI assigned

Dec 29, 2009

Organization subpart

No

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

Authorized official

Name

James W. Moffitt, M.D.

Title

President

Phone

(620) 371-7300

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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

• Karla Michelle Demuth, APRN

  • Family Nurse Practitioner
  • Fort Riley, KS
  • NPI 1780670174
  NPD (past)
• Benny Lee Short, M.D.

  • Emergency Medicine Physician
  • Dodge City, KS
  • NPI 1104854553

  Family Medicine

  NPD (past)
• Rachel C Magana, PA

  • Physician Assistant
  • Columbus, NE
  • NPI 1487095964
  NPD (past)

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1780914697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ROSS BLVD",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678017221",
            "telephone_number": "620-371-7300",
            "fax_number": "620-371-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ROSS BLVD",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678017221",
            "telephone_number": "620-371-7300",
            "fax_number": "620-371-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE CLINIC OF WESTERN KANSAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "MOFFITT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-371-7300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luz Esquivel, LMSW
• Jeremy Estell, APRN
• Luz Del Carmen Estrada
• F Rodney Copeland
• Amy Falcon, MSW
• Family Practice Associates of Western Kansas, LLC
• Dustin Fergerson
• Trista Fergerson, AUTISM SPECIALIST
• Cindy Kay Fiegenbaum, CPTA
• Carl W Fieser, MD

• Family Medicine Physician in Dodge City, KS
• Providers in Dodge City, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.