| Family Medcenters, P.a. | |
|
1101 N Rock Rd Derby KS 67037-3735 | |
| (316) 788-6963 | |
| (316) 788-5373 |
| Full Name | Family Medcenters, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 1101 N Rock Rd, Derby, Kansas |
| Authorized Official Name and Position | David W. Niederee (PRESIDENT) |
| Authorized Official Contact | 3167886963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medcenters, P.a. 1101 N Rock Rd Derby KS 67037-3735 Ph: (316) 788-6963 | Family Medcenters, P.a. 1101 N Rock Rd Derby KS 67037-3735 Ph: (316) 788-6963 |
| NPI Number | 1285688358 |
|---|---|
| Provider Enumeration Date | 05/21/2006 |
| Last Update Date | 10/25/2007 |
| Medicare PECOS PAC ID | 4688568751 |
|---|---|
| Medicare Enrollment ID | O20040210000627 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285688358 | NPI | - | NPPES |
| 110501 | Other | KS | BC/BS |
| CG1679 | Other | KS | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ted C Snodgrass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134138795 PECOS PAC ID: 3476448499 Enrollment ID: I20040218000882 |
| Provider Name | Heba S Ferguson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881603421 PECOS PAC ID: 1254226277 Enrollment ID: I20040218000912 |
| Provider Name | David K Kortje |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548279193 PECOS PAC ID: 3173418092 Enrollment ID: I20040219000371 |
| Provider Name | Jill D Howe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487663183 PECOS PAC ID: 6709847957 Enrollment ID: I20041021000613 |
| Provider Name | Marty W Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396754016 PECOS PAC ID: 5193776714 Enrollment ID: I20050201000537 |
| Provider Name | Antonio L Carro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003825720 PECOS PAC ID: 6406890581 Enrollment ID: I20050620000577 |
| Provider Name | Lorraine Alvarado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710996442 PECOS PAC ID: 7012951197 Enrollment ID: I20050620000608 |
| Provider Name | David W Niederee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306855069 PECOS PAC ID: 6204720378 Enrollment ID: I20050620000627 |
| Provider Name | Brian G Comer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538155205 PECOS PAC ID: 3971525536 Enrollment ID: I20051222000548 |
| Provider Name | Gregory Thomas Bongers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629033519 PECOS PAC ID: 4183631260 Enrollment ID: I20060314000767 |
| Provider Name | David C Fuller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790932705 PECOS PAC ID: 3375610314 Enrollment ID: I20080917000515 |
| Provider Name | Teiah B Hadley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972042927 PECOS PAC ID: 2668756990 Enrollment ID: I20170303001459 |
| Provider Name | Koleen Catherine Guete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861086787 PECOS PAC ID: 9537577556 Enrollment ID: I20210412002350 |
Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 N Woodlawn Blvd, Derby, KS 67037 Phone: 316-788-3741 Fax: 316-788-5198 | |
Essential Health & Wellness Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 N Buckner St, Derby, KS 67037 Phone: 316-425-3337 Fax: 316-425-3799 | |
Tanglewood Family Medical Center Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 606 Mulberry Rd, Derby, KS 67037 Phone: 316-788-3787 Fax: 316-788-6930 | |
Rock Regional Hospital, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 N Mulberry Rd, Derby, KS 67037 Phone: 307-257-0306 | |
Derby Family Medcenter Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1101 N Rock Rd, Derby, KS 67037 Phone: 316-788-6963 Fax: 316-788-5373 |