Active NPI
Mary C. Takaishi, PA-C
- Physician Assistant
- Abilene, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- T00779
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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 Center
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.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T00779 | KS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rooks County Health Center | Current | Accepting new patients | |
| Rooks County Health Center | Current | Accepting new patients | |
| Rooks County Health Center | Current | 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
- 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.
-
- Critical Access Hospital
- Plainville, KS
- NPI 1003936840
-
dba Docs Without Delay
- Family Medicine Physician
- Plainville, KS
- NPI 1841570298
-
dba Stockton Medical Clinic
- Rural Health Clinic/Center
- Stockton, KS
- NPI 1043040637
-
dba Rooks County Health Center Clinic
- Family Medicine Physician
- Plainville, KS
- NPI 1205116654
-
- Emergency Medicine Physician
- Manhattan, KS
- NPI 1477521474
-
- General Acute Care Hospital
- Junction City, KS
- NPI 1063549327
-
- Nurse Practitioner
- Kansas City, KS
- NPI 1952682221
Physician Assistant
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Edwards County Hospital
- Critical Access Hospital
- Kinsley, KS
- NPI 1851403869
-
- General Acute Care Hospital
- Hays, KS
- NPI 1881697043
-
- Critical Access Hospital
- Plainville, KS
- NPI 1649278854
-
- Medicare Defined Swing Bed Hospital Unit
- Plainville, KS
- NPI 1972502060
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.