NPIMap

Organization Active NPI

Abb PA

  • Certified Registered Nurse Anesthetist
  • Fort Scott, KS
National Provider Identifier
1952385379
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
ABB PA
Practice address
918 Highway 69
Fort Scott, KS 66701-8885
Phone
(620) 223-0200
NPI assigned
Nov 30, 2005
Last updated
Jan 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Authorized official

Name
Jan C Rowlett, CRNA MSNPI 1285619767
Title
President
Phone
(913) 268-4133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

918 Highway 69
Fort Scott, KS 66701-8885

Mailing address

PO Box 25097
Overland Park, KS 66225-5097
Phone (913) 268-4133

Other identifiers 4

IdentifierTypeStateIssuer
DA2653OtherMORAILROAD MEDICARE
33139012OtherMOBLUE CROSS BLUE SHIELD
180635OtherKSBLUE CROSS BLUE SHIELD
DA2652OtherKSRAILROAD MEDICARE

Other names 1

  • ABB INC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050323001149 KS Part B Supplier - Clinic/Group Practice 6305839267 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Scott, KS

National Provider Directory

National Provider Directory

Locations

1602 N Broadway St
Pittsburg, KS 66762
Phone (620) 308-6882

Practitioners & affiliated clinicians

Practitioners 4

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": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1952385379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25097",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662255097",
            "telephone_number": "913-268-4133",
            "fax_number": "913-268-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 HIGHWAY 69",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667018885",
            "telephone_number": "620-223-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABB PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "ROWLETT",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-268-4133",
        "authorized_official_credential": "CRNA MS"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA2653",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "33139012",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "180635",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA2652",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABB INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fort Scott, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.