Denis Jimenez, MD | |
1110 Columbine Dr, Holton, KS 66436-8824 | |
(785) 364-2116 | |
(785) 364-9612 |
Full Name | Denis Jimenez |
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Gender | Male |
Speciality | Surgery |
Location | 1110 Columbine Dr, Holton, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487175063 | NPI | - | NPPES |
LL51207 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | LL51207 (South Carolina) | Primary |
208600000X | Surgery | 046648 (Kansas) | Secondary |
Entity Name | Rural Health Resources Of Jackson Co Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235238296 PECOS PAC ID: 7810807690 Enrollment ID: O20031111000573 |
Entity Name | Cotton O'neil Clinic Revocable Trust |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811944457 PECOS PAC ID: 5496659195 Enrollment ID: O20031124000674 |
Entity Name | Great Plains Of Sabetha Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568491033 PECOS PAC ID: 5698676146 Enrollment ID: O20041215000613 |
Entity Name | Nemaha Valley Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336128644 PECOS PAC ID: 2668383472 Enrollment ID: O20050228000745 |
Entity Name | Great Plains Of Sabetha Inc |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1306875745 PECOS PAC ID: 5698676146 Enrollment ID: O20061104000692 |
Mailing Address | Practice Location Address |
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Denis Jimenez, MD 1110 Columbine Dr, Holton, KS 66436-8824 Ph: (785) 364-2116 | Denis Jimenez, MD 1110 Columbine Dr, Holton, KS 66436-8824 Ph: (785) 364-2116 |