Individual provider Active NPI

Mary C. Takaishi, PA-C

  • Physician Assistant
  • Abilene, KS
National Provider Identifier
1841201654
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
T00779 Issued in KS
Practice address
511 NE 10TH St
Abilene, KS 67410-2153
Phone
(785) 263-6661
Fax
(785) 263-6633
NPI assigned
Aug 10, 2006
Last updated
Apr 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X T00779 KS Primary

Addresses

Primary practice location

511 NE 10TH St
Abilene, KS 67410-2153

Mailing address

914 Highland Ave
Salina, KS 67401-5040
Phone (785) 764-9140

Other practice location 1

205 Hall St
Spearville, KS 67876-8553
Phone (620) 385-2963

Other practice location 2

604 W 8th St
Kinsley, KS 67547-2329
Phone (620) 659-2732

Other practice location 3

620 W 8th St
Kinsley, KS 67547-2329
Phone (620) 659-3621

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mdowler@edcomed.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060828000063 KS Practitioner - Physician Assistant 2961406392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rooks County Health CenterGroup PAC ID 8325959331, shared by 7 NPIs, 40 clinicians

Practice addresses (Care Compare)

107 S Spruce St
Stockton, KS 67669-1200
Phone (785) 425-6921

1210 N Washington St
Plainville, KS 67663-1632
Phone (785) 434-2622

PO Box
Suite 389
Plainville, KS 67663-0389

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
T00779KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rooks County Health Center CurrentSince Nov 8, 2022 Accepting new patients
Rooks County Health Center CurrentSince Jan 23, 2021 Accepting new patients
Rooks County Health Center CurrentSince Jan 23, 2021 Accepting new patients
Rooks County Health Center Current Accepting new patients
Geary County Hospital Past Accepting new patients
Emergency Physicians of Manhattan, LLC Past Accepting new patients
Kansas Em I Medical Services, PA Physician Assistant Past Accepting new patients

Locations

107 S Spruce St
Stockton, KS 67669
Phone (785) 425-6921

Interoperability endpoints

  • Direct secure messaging: mary.takaishi.p1@direct.edcomed.nextgenshare.com

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1841201654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 HIGHLAND AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674015040",
            "telephone_number": "785-764-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 NE 10TH ST",
            "city": "ABILENE",
            "state": "KS",
            "postal_code": "674102153",
            "telephone_number": "785-263-6661",
            "fax_number": "785-263-6633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Hall St",
            "address_purpose": "LOCATION",
            "city": "Spearville",
            "state": "KS",
            "postal_code": "678768553",
            "country_code": "US",
            "telephone_number": "620-385-2963",
            "fax_number": "620-385-2811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "604 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Kinsley",
            "state": "KS",
            "postal_code": "675472329",
            "country_code": "US",
            "telephone_number": "620-659-2732",
            "fax_number": "620-659-3850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Kinsley",
            "state": "KS",
            "postal_code": "675472329",
            "country_code": "US",
            "telephone_number": "620-659-3621",
            "fax_number": "620-659-3810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAKAISHI",
        "first_name": "MARY",
        "middle_name": "C.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "T00779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdowler@edcomed.com",
            "affiliation": "N",
            "endpointDescription": "RHC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "620 W 8th St",
            "city": "Kinsley",
            "state": "KS",
            "country_code": "US",
            "postal_code": "675472329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Abilene, KS

Sources for this page

Verify at the official NPI Registry.