Mcpherson Medical & Diagnostic Llc | |
915 W Maple St Columbus KS 66725-1508 | |
(417) 310-9288 | |
Not Available |
Full Name | Mcpherson Medical & Diagnostic Llc |
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Speciality | Clinic/Center |
Location | 915 W Maple St, Columbus, Kansas |
Authorized Official Name and Position | Abdullah Arshad (MD) |
Authorized Official Contact | 5737240083 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mcpherson Medical & Diagnostic Llc 915 W Maple St Columbus KS 66725-1508 Ph: (417) 310-9288 | Mcpherson Medical & Diagnostic Llc 915 W Maple St Columbus KS 66725-1508 Ph: (417) 310-9288 |
NPI Number | 1437832300 |
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Provider Enumeration Date | 08/08/2023 |
Last Update Date | 08/08/2023 |
Medicare PECOS PAC ID | 5698773539 |
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Medicare Enrollment ID | O20230919000638 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437832300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Kristin D Wagner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205105624 PECOS PAC ID: 3577721786 Enrollment ID: I20120220000501 |
Provider Name | Jonathan L Manzer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407848971 PECOS PAC ID: 5799765178 Enrollment ID: I20131202001082 |
Provider Name | Crystal J Dyer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053861609 PECOS PAC ID: 3476832189 Enrollment ID: I20170818003017 |
Provider Name | Babafemi Pratt |
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Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1174773873 PECOS PAC ID: 2365695509 Enrollment ID: I20210804001305 |
Provider Name | Susan Zhou |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952974172 PECOS PAC ID: 2860883956 Enrollment ID: I20211228001587 |
Provider Name | Aubri D Ashbacher |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528677200 PECOS PAC ID: 1557743036 Enrollment ID: I20221014000460 |
Provider Name | Mckenzie Elizabeth Turner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962280750 PECOS PAC ID: 3678927548 Enrollment ID: I20230926002691 |
Provider Name | Jody M Pryor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629602024 PECOS PAC ID: 8123459112 Enrollment ID: I20231012001749 |
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