| Katy Trail Community Health | |
|
821 Westwood Dr Sedalia MO 65301-2102 | |
| (660) 826-4774 | |
| (660) 826-1300 |
| Full Name | Katy Trail Community Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 821 Westwood Dr, Sedalia, Missouri |
| Authorized Official Name and Position | Michael Waller (CEO) |
| Authorized Official Contact | 6608264774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katy Trail Community Health 821 Westwood Dr Sedalia MO 65301-2102 Ph: (660) 826-4774 | Katy Trail Community Health 821 Westwood Dr Sedalia MO 65301-2102 Ph: (660) 826-4774 |
| NPI Number | 1922057504 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 02/21/2024 |
| Medicare PECOS PAC ID | 8224926092 |
|---|---|
| Medicare Enrollment ID | O20040304001212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922057504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Mary A Dimarsico |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013982818 PECOS PAC ID: 5597796300 Enrollment ID: I20050822000942 |
| Provider Name | Chauncey B Haley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619991692 PECOS PAC ID: 2365545324 Enrollment ID: I20080414000310 |
| Provider Name | Shari A Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700889367 PECOS PAC ID: 2961477872 Enrollment ID: I20090313000138 |
| Provider Name | Justin R Cramer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114969292 PECOS PAC ID: 2961535273 Enrollment ID: I20100805001007 |
| Provider Name | Mohammad Chowdhury |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639335607 PECOS PAC ID: 5395991707 Enrollment ID: I20120816000901 |
| Provider Name | Jessica Arnold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285796672 PECOS PAC ID: 8325276660 Enrollment ID: I20140114000795 |
| Provider Name | Megan Rowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194166520 PECOS PAC ID: 7911136247 Enrollment ID: I20140210000261 |
| Provider Name | Jenie Bruce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801223037 PECOS PAC ID: 3274762398 Enrollment ID: I20140212000380 |
| Provider Name | Linda Moenkhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922478577 PECOS PAC ID: 3476862285 Enrollment ID: I20151019000670 |
| Provider Name | Leila Kashani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598025256 PECOS PAC ID: 8729338777 Enrollment ID: I20180912001996 |
| Provider Name | Seanna Paige Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831662337 PECOS PAC ID: 2264779917 Enrollment ID: I20190204000995 |
| Provider Name | Julie Kisner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154867869 PECOS PAC ID: 1355682857 Enrollment ID: I20190410002101 |
| Provider Name | Katherine Anne Dumbell |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1316508732 PECOS PAC ID: 2466789607 Enrollment ID: I20190809001635 |
| Provider Name | Jennifer L Gamber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225660228 PECOS PAC ID: 3779912852 Enrollment ID: I20200413000528 |
| Provider Name | Lisa Ann Galeski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548894611 PECOS PAC ID: 6204258742 Enrollment ID: I20200630001192 |
| Provider Name | Stephanie R Nicholson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811596877 PECOS PAC ID: 2466866959 Enrollment ID: I20210125000427 |
| Provider Name | Angela Beth Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124600333 PECOS PAC ID: 3476962960 Enrollment ID: I20210513001507 |
| Provider Name | Jeffrey S Carver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427629948 PECOS PAC ID: 4486058823 Enrollment ID: I20210809000414 |
| Provider Name | Jessica Marie Berney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265102420 PECOS PAC ID: 9537558507 Enrollment ID: I20211112000223 |
| Provider Name | Brenda Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821749342 PECOS PAC ID: 3870985146 Enrollment ID: I20220118001771 |
| Provider Name | Molly Boston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346717469 PECOS PAC ID: 2163804691 Enrollment ID: I20220801001363 |
| Provider Name | Renae M Belt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003422098 PECOS PAC ID: 8224412572 Enrollment ID: I20220906000730 |
| Provider Name | Emily Ann Farr |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1427611805 PECOS PAC ID: 6507242583 Enrollment ID: I20220928001344 |
| Provider Name | Magen Ann Gunsolley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295370815 PECOS PAC ID: 1759758204 Enrollment ID: I20221114000323 |
| Provider Name | Sylvia Lawson-cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063834455 PECOS PAC ID: 6103281969 Enrollment ID: I20230501000184 |
| Provider Name | Riley Anderson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1255713509 PECOS PAC ID: 6406215235 Enrollment ID: I20230711002428 |
| Provider Name | Grace Browne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568959674 PECOS PAC ID: 2961829031 Enrollment ID: I20230811002353 |
| Provider Name | Brianna Cordova |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801460886 PECOS PAC ID: 3971951559 Enrollment ID: I20231120002042 |
| Provider Name | Rebecca C Gunn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013538560 PECOS PAC ID: 5597116517 Enrollment ID: I20240103004609 |
| Provider Name | Molly Foster |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1598325011 PECOS PAC ID: 3072965342 Enrollment ID: I20240123001280 |
| Provider Name | Kayla Jean Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699546382 PECOS PAC ID: 7911350350 Enrollment ID: I20240201000949 |
| Provider Name | Rachelle Marie Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154192516 PECOS PAC ID: 0446693956 Enrollment ID: I20240212001287 |
Serc - Sedalia, Mo Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 W Broadway Blvd, Ste 300, Sedalia, MO 65301 Phone: 660-827-2945 Fax: 660-827-2961 | |
Bothwell Family Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 W 10th Street, Suite 203, Sedalia, MO 65301 Phone: 660-827-2500 Fax: 660-827-2511 | |
Family Medicine Associates, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3401 W 10th St, Sedalia, MO 65301 Phone: 660-827-2883 Fax: 660-827-1359 | |
Katy Trail Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 W Main St, Sedalia, MO 65301 Phone: 660-310-0909 Fax: 888-979-8868 | |
Sedalia Internal Medicine Specialists Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1712 S Lafayette Ave, Sedalia, MO 65301 Phone: 660-827-2526 Fax: 660-827-5536 | |
Sedalia Internal Medicine Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1712 S Lafayette Ave, Sedalia, MO 65301 Phone: 660-827-2526 Fax: 660-827-5536 | |
Frederick Yap, M.d., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4400 S Limit Ave, Suite B, Sedalia, MO 65301 Phone: 660-829-3400 Fax: 660-829-3433 |