Kansas Medical Center, LLC
Organization Active NPI Emergency Medical Services (Emergency Medicine) Physician · Andover, KS
NPI 1801007786 · NPPES record last updated Nov 10, 2023
Key facts
- NPI
- 1801007786
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician 207PE0004X
- Legal business name
- KANSAS MEDICAL CENTER, LLC
- Practice address
- 1124 W. 21St St
Andover, KS 67002 - Phone
- (316) 300-4000
- Fax
- (316) 300-4040
- NPI assigned
- May 24, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- KANSAS MEDICAL CENTER, LLC
Authorized official
- Name
- Mr. Steven Hadley
- Title
- Chief Business Executive
- Phone
- (316) 300-4021
Other NPIs on the same Medicare enrollment 4
Practitioners 57
-
Daniel Robbins Baker, D.O.
-
Ryan Vincent Berland, C.R.N.A.
-
Josie A Bollig, APRN
-
Maged Botros, MD
-
Jeff Andrew Carpenter, CRNA
-
Seth Claassen, CRNA
-
Kari R Clouse, M.D.
-
Katie Elizabeth Fee, DNP, APRN, FNP-C
-
Michael Scott Friesen, CRNA
-
Jill C Gallagher, CRNA
-
Jamie Marie Geier, PA-C
-
Jason A Hampl, M.D.
-
Justin Haynes, M.D.
-
Kevin Wayne Jacobs, CRNA
-
Li Jia, MD
-
Joseph E Lemlek, D.O., F.A.C.C.
-
Christopher Ryan Lemons, PA-C
-
Stephen F Lemons, MD
-
Joseph Michel Meier, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061109000659 | KS | Part B Supplier - Clinic/Group Practice | 2668476862 |
Receives reassigned benefits from 64 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Andover, KS; Wichita, KS; Neodosha, KS; Meade, KS; Liberal, KS; Kingman, KS; Independence, KS; Fredonia, KS… |
National Provider Directory
- Part of
- Cypress Heart
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician |
207PE0004X | KS | Yes | |
| Family Medicine Physician |
207Q00000X | KS |
Addresses
Primary practice location
1124 W. 21St St
Andover, KS 67002
Mailing address
PO Box 268938
Oklahoma City, OK 73126-8938
Phone (316) 300-4021
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN3967 | Other | KS | RR MEDICARE |
| 111283 | Other | KS | BSBSKS |
| 200408390B | Medicaid | KS |
Other names
- KMC Physicians
Other providers in Andover, KS
- Michelle Lynn Kane
- Kansas Anesthesia Providers, LLC
- Kansas Medical Associates
- Kansas Medical Center LLC
- Kansas Medical Center, LLC
- Kansas Medical Center, LLC
- Kansas Medical Center, LLC
- Tara Katz
- Brandon Keith Kaub
- Ryan Kaub
All providers in Andover, KS · Emergency Medical Services (Emergency Medicine) Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.