NPIMap

Organization Active NPI

Neosho Memorial Regional Medical Center

Doing business as NMRMC Orizon Clinic

  • Family Medicine Physician
  • Chanute, KS
National Provider Identifier
1932844651
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEOSHO MEMORIAL REGIONAL MEDICAL CENTER
Doing business as
NMRMC Orizon Clinic
Practice address
2522 W 21St St
Chanute, KS 66720-6132
Phone
(620) 431-4000
NPI assigned
Apr 28, 2022
Last updated
Oct 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Wendy Brazil
Title
Coo
Phone
(620) 432-5310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

2522 W 21St St
Chanute, KS 66720-6132

Mailing address

PO Box 426
Chanute, KS 66720-0426

Other names 1

  • NMRMC Orizon Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040129000863 KS Part B Supplier - Clinic/Group Practice 9133022882 Receives reassigned benefits from 50 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chanute, KS; Erie, KS

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2269240Nmrmc Orizon Clinic2522 W 21St St, Chanute, KS 66720Certificate of waiverSep 21, 2026

National Provider Directory

National Provider Directory
Tax ID family
Neosho Memorial Hospita15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1932844651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667200426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 W 21ST ST",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667206132",
            "telephone_number": "620-431-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEOSHO MEMORIAL REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-28",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "BRAZIL",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "620-432-5310"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NMRMC Orizon Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NMRMC Orizon Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chanute, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.