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| |
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421 S Maple St Garnett KS 66032-1334 | |
| (785) 448-3131 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 421 S Maple St, Garnett, Kansas |
| Authorized Official Name and Position | Erin Parde (CFO) |
| Authorized Official Contact | 8168805277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 309 Garnett KS 66032-0309 Ph: (785) 448-3131 | 421 S Maple St Garnett KS 66032-1334 Ph: (785) 448-3131 |
| NPI Number | 1619901725 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 11/25/2024 |
| Medicare PECOS PAC ID | 8729071691 |
|---|---|
| Medicare Enrollment ID | O20040406001183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619901725 | NPI | - | NPPES |
| 100107240B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | H002001 (Kansas) | Primary |
| Provider Name | Michael J Schwartzman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245278712 PECOS PAC ID: 2567367048 Enrollment ID: I20031208000092 |
| Provider Name | Timothy C Spears |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639173156 PECOS PAC ID: 5597673327 Enrollment ID: I20040220000487 |
| Provider Name | Gary B Morsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851367809 PECOS PAC ID: 4981595931 Enrollment ID: I20040910001119 |
| Provider Name | Kevin Bybee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508814559 PECOS PAC ID: 4385632355 Enrollment ID: I20050324001168 |
| Provider Name | Rebecca L Shriver |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740282516 PECOS PAC ID: 8729034269 Enrollment ID: I20050328000559 |
| Provider Name | Anthony Magalski |
|---|---|
| Provider Type | Practitioner - Adult Congenital Heart Disease (achd) |
| Provider Identifiers | NPI Number: 1912955303 PECOS PAC ID: 7416995204 Enrollment ID: I20050421001100 |
| Provider Name | Timothy M Bateman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023076072 PECOS PAC ID: 1759321060 Enrollment ID: I20050505000964 |
| Provider Name | Stephanie L Lawhorn |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1881642270 PECOS PAC ID: 1557337219 Enrollment ID: I20050516000696 |
| Provider Name | Randall C Thompson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255389284 PECOS PAC ID: 3173564572 Enrollment ID: I20050516000936 |
| Provider Name | Thomas H Good |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942258579 PECOS PAC ID: 2365483369 Enrollment ID: I20050519000991 |
| Provider Name | David G Skolnick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194774356 PECOS PAC ID: 0345282273 Enrollment ID: I20050601000469 |
| Provider Name | Michael L Main |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851340095 PECOS PAC ID: 0446293906 Enrollment ID: I20050606000664 |
| Provider Name | Jennifer Annette Svetlecic |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336140490 PECOS PAC ID: 1850333873 Enrollment ID: I20050613001197 |
| Provider Name | Ralph W Hall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508847112 PECOS PAC ID: 5092750695 Enrollment ID: I20050623000902 |
| Provider Name | Matthew Grant Deedy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861450033 PECOS PAC ID: 2062400054 Enrollment ID: I20050705000814 |
| Provider Name | Charles W Barth |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174580773 PECOS PAC ID: 8325011919 Enrollment ID: I20050706000419 |
| Provider Name | Steven B Laster |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1386601235 PECOS PAC ID: 7719917673 Enrollment ID: I20050819000580 |
| Provider Name | Arthur I Mcghie |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598723553 PECOS PAC ID: 9638109523 Enrollment ID: I20050819000800 |
| Provider Name | Martin H Zink |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982653150 PECOS PAC ID: 7012947849 Enrollment ID: I20050822000133 |
| Provider Name | Mackenzie Alynne Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336174556 PECOS PAC ID: 3173555794 Enrollment ID: I20050905000013 |
| Provider Name | Galen W Epp |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609869775 PECOS PAC ID: 9931195542 Enrollment ID: I20051028000763 |
| Provider Name | Shelley J Edwards |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316971294 PECOS PAC ID: 3072532472 Enrollment ID: I20051115000682 |
| Provider Name | John A Thesing |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649240862 PECOS PAC ID: 3779539929 Enrollment ID: I20060120000528 |
| Provider Name | Carlos E Rivas Gotz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700824331 PECOS PAC ID: 8022076496 Enrollment ID: I20060203000479 |
| Provider Name | Jeffrey L Schlachter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073530697 PECOS PAC ID: 5597782094 Enrollment ID: I20060214000457 |
| Provider Name | Joseph A Goeke |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932157369 PECOS PAC ID: 3476569302 Enrollment ID: I20060301000370 |
| Provider Name | Anthony L Fangman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417993064 PECOS PAC ID: 5395727564 Enrollment ID: I20060814000565 |
| Provider Name | Shashank B Radadiya |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1306887161 PECOS PAC ID: 9032113402 Enrollment ID: I20060828000333 |
| Provider Name | Angela M Katzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245314012 PECOS PAC ID: 5496755308 Enrollment ID: I20061227000257 |
| Provider Name | Karin E Olds |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245285154 PECOS PAC ID: 8729035175 Enrollment ID: I20070303000067 |
| Provider Name | Michael J Giocondo |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1902977127 PECOS PAC ID: 7113023896 Enrollment ID: I20070427000018 |
| Provider Name | Scot D Hirschi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619071891 PECOS PAC ID: 9931291655 Enrollment ID: I20070824000634 |
| Provider Name | Sara R Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447278007 PECOS PAC ID: 5294828810 Enrollment ID: I20070912000334 |
| Provider Name | Christopher Eckland |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932281714 PECOS PAC ID: 4082706577 Enrollment ID: I20080828000525 |
| Provider Name | Shana E Pedrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043263767 PECOS PAC ID: 1254499650 Enrollment ID: I20081028000649 |
| Provider Name | Stephen G Nolker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477545739 PECOS PAC ID: 7911906417 Enrollment ID: I20090304000207 |
| Provider Name | Dmitri Victorovich Baklanov |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1730260456 PECOS PAC ID: 2961402383 Enrollment ID: I20090416000044 |
| Provider Name | Kevin Miles Latinis |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1699878686 PECOS PAC ID: 8729056726 Enrollment ID: I20090427000226 |
| Provider Name | Mark P Everley |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1366612996 PECOS PAC ID: 8426109190 Enrollment ID: I20090619000573 |
| Provider Name | Adnan K Chhatriwalla |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1508035163 PECOS PAC ID: 1557412053 Enrollment ID: I20090623000564 |
| Provider Name | Johanna L Mccullagh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1164569661 PECOS PAC ID: 2567516024 Enrollment ID: I20090818000422 |
| Provider Name | Nicholas G Brockert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447494216 PECOS PAC ID: 7517009327 Enrollment ID: I20100116000052 |
| Provider Name | Michael M Vesali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942205703 PECOS PAC ID: 5294717369 Enrollment ID: I20100621000652 |
| Provider Name | Matthew Sean Donegan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497086789 PECOS PAC ID: 7618009655 Enrollment ID: I20100712000051 |
| Provider Name | Bethany A Austin |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1720258122 PECOS PAC ID: 9931223112 Enrollment ID: I20100824001138 |
| Provider Name | Taiyeb Khumri |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1215973102 PECOS PAC ID: 9638101900 Enrollment ID: I20101208001191 |
| Provider Name | Sanjaya K Gupta |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1700904182 PECOS PAC ID: 2365527348 Enrollment ID: I20110719000296 |
| Provider Name | Laura M Schmidt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639110810 PECOS PAC ID: 1850396128 Enrollment ID: I20110725000793 |
| Provider Name | Thomas B Thieman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760643480 PECOS PAC ID: 1557532025 Enrollment ID: I20110914000609 |
| Provider Name | Ross M Kimball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982876512 PECOS PAC ID: 5092987826 Enrollment ID: I20111020000197 |
| Provider Name | Daniel G Holmes |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1720038227 PECOS PAC ID: 0941306633 Enrollment ID: I20120312000301 |
| Provider Name | Rex Liu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831332444 PECOS PAC ID: 5799959631 Enrollment ID: I20120820001128 |
| Provider Name | Suzanne V Arnold |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154474120 PECOS PAC ID: 6002071982 Enrollment ID: I20120822000311 |
| Provider Name | Jamie S Mehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548210057 PECOS PAC ID: 5092962233 Enrollment ID: I20121110000057 |
| Provider Name | Alan Doty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811208861 PECOS PAC ID: 6507009701 Enrollment ID: I20130906000228 |
| Provider Name | Scott D Maley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457662918 PECOS PAC ID: 3577707652 Enrollment ID: I20130911000028 |
| Provider Name | Jayne L Bumgarner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770774440 PECOS PAC ID: 8628192283 Enrollment ID: I20131009002134 |
| Provider Name | Travis E Devader |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740442946 PECOS PAC ID: 4284814021 Enrollment ID: I20131213000317 |
| Provider Name | Jessica N Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811284607 PECOS PAC ID: 2668698200 Enrollment ID: I20140717000994 |
| Provider Name | Matthew C Bunte |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1518039239 PECOS PAC ID: 5597833053 Enrollment ID: I20140721001323 |
| Provider Name | Moghniuddin Mohammed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366721417 PECOS PAC ID: 6204057995 Enrollment ID: I20141022000297 |
| Provider Name | Jeffrey W Sattler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225078116 PECOS PAC ID: 3577576008 Enrollment ID: I20150220001806 |
| Provider Name | Berhane G Solomon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104088947 PECOS PAC ID: 8921279902 Enrollment ID: I20150409002649 |
| Provider Name | Elikem Kpenu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649473331 PECOS PAC ID: 9032200902 Enrollment ID: I20150427002546 |
| Provider Name | Adam Salisbury |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1861511081 PECOS PAC ID: 0143311514 Enrollment ID: I20150625000753 |
| Provider Name | Benjamin Murry Mulloy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205156957 PECOS PAC ID: 0244543387 Enrollment ID: I20150720001070 |
| Provider Name | Dorota J Walewicz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720056054 PECOS PAC ID: 3779519020 Enrollment ID: I20150729009743 |
| Provider Name | Brian S Neely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851654420 PECOS PAC ID: 9335387059 Enrollment ID: I20150803000553 |
| Provider Name | Chernet G Teklemichael |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346402187 PECOS PAC ID: 1951578319 Enrollment ID: I20150819006653 |
| Provider Name | James E Sear |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649206665 PECOS PAC ID: 4789596248 Enrollment ID: I20160223002584 |
| Provider Name | Anissa Sell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437510757 PECOS PAC ID: 9739479676 Enrollment ID: I20160603002075 |
| Provider Name | Matthew W Brooks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972947737 PECOS PAC ID: 3173839990 Enrollment ID: I20160705000759 |
| Provider Name | Daniel Steinhaus |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1043447592 PECOS PAC ID: 0941462675 Enrollment ID: I20160722001261 |
| Provider Name | Michael Dempewolf |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1558654392 PECOS PAC ID: 9537461975 Enrollment ID: I20160809002424 |
| Provider Name | Rafael Torosyan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1578901625 PECOS PAC ID: 5193021087 Enrollment ID: I20160909001911 |
| Provider Name | Devon Isaacson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699065912 PECOS PAC ID: 7719291921 Enrollment ID: I20170119002459 |
| Provider Name | Sarah Boyd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356451603 PECOS PAC ID: 2062441157 Enrollment ID: I20170123000425 |
| Provider Name | Crystal Neises |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770020141 PECOS PAC ID: 5991080608 Enrollment ID: I20170321000414 |
| Provider Name | Susana Damico |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366624215 PECOS PAC ID: 5294800298 Enrollment ID: I20170418000231 |
| Provider Name | Emily Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053794263 PECOS PAC ID: 6305153487 Enrollment ID: I20180112001801 |
| Provider Name | Jason Andrew Showmaker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1609187871 PECOS PAC ID: 4688809791 Enrollment ID: I20180605002653 |
| Provider Name | Deedra J Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033618814 PECOS PAC ID: 0941565295 Enrollment ID: I20180607001426 |
| Provider Name | Alex James Jilka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942687165 PECOS PAC ID: 1951614338 Enrollment ID: I20180626002379 |
| Provider Name | Anna Grodzinsky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033352646 PECOS PAC ID: 4183888993 Enrollment ID: I20180713000181 |
| Provider Name | Michael Nassif |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1538398300 PECOS PAC ID: 7113182668 Enrollment ID: I20180926001016 |
| Provider Name | David Frederick Fuller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093101495 PECOS PAC ID: 6709188154 Enrollment ID: I20181112002687 |
| Provider Name | Natalie Ketzner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598261604 PECOS PAC ID: 3072857218 Enrollment ID: I20181129001059 |
| Provider Name | Susan Mayer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730138215 PECOS PAC ID: 8123007606 Enrollment ID: I20181129002905 |
| Provider Name | Adam Madl |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1922413939 PECOS PAC ID: 5698071140 Enrollment ID: I20190712000038 |
| Provider Name | Adam Mark Fleddermann |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801235080 PECOS PAC ID: 4385873082 Enrollment ID: I20190722003220 |
| Provider Name | Robert Wiggin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336590108 PECOS PAC ID: 6800180530 Enrollment ID: I20190801002109 |
| Provider Name | Timothy J Fendler |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1639490030 PECOS PAC ID: 1052548732 Enrollment ID: I20190812001407 |
| Provider Name | Dany Jacob |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801150313 PECOS PAC ID: 9234431545 Enrollment ID: I20190826003252 |
| Provider Name | Daniel Gallagher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477084481 PECOS PAC ID: 1951673516 Enrollment ID: I20190916001965 |
| Provider Name | Aaron Matthew Kaus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407099120 PECOS PAC ID: 1052580396 Enrollment ID: I20190923002350 |
| Provider Name | Ryan Gallagher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700203957 PECOS PAC ID: 8820396500 Enrollment ID: I20190925001739 |
| Provider Name | Erin D Splechter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982264065 PECOS PAC ID: 8426388620 Enrollment ID: I20191002000629 |
| Provider Name | Benjamin Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962063362 PECOS PAC ID: 6901233857 Enrollment ID: I20200305001517 |
| Provider Name | Alexandria Larson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578095840 PECOS PAC ID: 9739451279 Enrollment ID: I20200416000370 |
| Provider Name | Joshua B Abernathy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699208447 PECOS PAC ID: 3870863400 Enrollment ID: I20200717001968 |
| Provider Name | Kyrstin C Alexander |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174901870 PECOS PAC ID: 9335438134 Enrollment ID: I20200814001979 |
| Provider Name | Megan Morriss |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548642291 PECOS PAC ID: 8527372614 Enrollment ID: I20200820000349 |
| Provider Name | Caleb N Pace |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124548086 PECOS PAC ID: 6305262205 Enrollment ID: I20200828001213 |
| Provider Name | Stacey Kale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336510312 PECOS PAC ID: 5496059321 Enrollment ID: I20201021000588 |
| Provider Name | Kayla R Donnawell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184011702 PECOS PAC ID: 2668778093 Enrollment ID: I20201215002475 |
| Provider Name | Jeffrey M Straub |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295116010 PECOS PAC ID: 4486964392 Enrollment ID: I20210820002219 |
| Provider Name | Brandi Osburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659049260 PECOS PAC ID: 1153727680 Enrollment ID: I20210909001033 |
| Provider Name | Neha Chaudhry |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1851734404 PECOS PAC ID: 8820221674 Enrollment ID: I20210921000879 |
| Provider Name | Gary Cornette |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639149271 PECOS PAC ID: 8628029956 Enrollment ID: I20211122000570 |
| Provider Name | Sandra Campos Szasz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407466568 PECOS PAC ID: 3476930587 Enrollment ID: I20220511000739 |
| Provider Name | Peter Byers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477796936 PECOS PAC ID: 0547417651 Enrollment ID: I20220523001328 |
| Provider Name | Laura P Edgerley-gibb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205024361 PECOS PAC ID: 6608069216 Enrollment ID: I20220524001738 |
| Provider Name | Stephen Kotch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821042201 PECOS PAC ID: 5799853339 Enrollment ID: I20220527001592 |
| Provider Name | John Michael |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326481268 PECOS PAC ID: 4981838638 Enrollment ID: I20220606002194 |
| Provider Name | Lee Andrew Replogle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750739371 PECOS PAC ID: 1658614243 Enrollment ID: I20220610001191 |
| Provider Name | Evan Rene Poncher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942509708 PECOS PAC ID: 1557673472 Enrollment ID: I20220613002828 |
| Provider Name | Lukas Hockman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891177226 PECOS PAC ID: 8820410525 Enrollment ID: I20220714003800 |
| Provider Name | Frank Skobel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700220357 PECOS PAC ID: 8628356623 Enrollment ID: I20220721001713 |
| Provider Name | Derek Christopher Liston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083683957 PECOS PAC ID: 1153345236 Enrollment ID: I20220729000484 |
| Provider Name | Samuel Lewis Wilcox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457812893 PECOS PAC ID: 1951635747 Enrollment ID: I20220922000690 |
| Provider Name | Tonya L Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104254952 PECOS PAC ID: 8123257706 Enrollment ID: I20221028000421 |
| Provider Name | Jessica Nguyen Winn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023270170 PECOS PAC ID: 9436386356 Enrollment ID: I20221107001848 |
| Provider Name | Vipul Kella |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164454948 PECOS PAC ID: 8426082793 Enrollment ID: I20230615003607 |
| Provider Name | Nicole Carbonell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699889865 PECOS PAC ID: 5193756559 Enrollment ID: I20230919002195 |
| Provider Name | Cecilia Mathis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467080689 PECOS PAC ID: 1759738792 Enrollment ID: I20231113001437 |
| Provider Name | Matthew Angelidis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912057647 PECOS PAC ID: 0840486437 Enrollment ID: I20240313002645 |
| Provider Name | Andrew Jordan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992443311 PECOS PAC ID: 3274917398 Enrollment ID: I20240327003641 |
| Provider Name | John Swab |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881076198 PECOS PAC ID: 8426357203 Enrollment ID: I20240429000929 |
| Provider Name | Jennifer Case |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518254218 PECOS PAC ID: 4789805557 Enrollment ID: I20240514000479 |
| Provider Name | Eric Ball |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356634943 PECOS PAC ID: 2062731524 Enrollment ID: I20240702000635 |
| Provider Name | Roya Mahana |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033573589 PECOS PAC ID: 8921356809 Enrollment ID: I20240705001377 |
| Provider Name | Seth Evans |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891490785 PECOS PAC ID: 3971964800 Enrollment ID: I20240826001759 |
| Provider Name | Peter Drake |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124655600 PECOS PAC ID: 2163878000 Enrollment ID: I20240930001408 |
| Provider Name | David Trac |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487262028 PECOS PAC ID: 0941682157 Enrollment ID: I20241014004649 |
Pheasant Ridge Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 312 S Maple St, Garnett, KS 66032 Phone: 785-787-5050 | |
Community Health Center Of Southeast Kansas, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 312 S Maple St, Garnett, KS 66032 Phone: 888-777-9170 | |