| Professional Services | |
|
1 Mt. Carmel Way, Pittsburg, KS 66762-6643 | |
| (620) 235-7995 | |
| (620) 235-7913 |
| Full Name | Professional Services |
|---|---|
| Type | Facility |
| Speciality | Internal Medicine |
| Location | 1 Mt. Carmel Way, Pittsburg, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760408975 | NPI | - | NPPES |
| 014041 | Other | KS | KANSAS |
| 100099300B | Medicaid | KS | |
| 203406806 | Medicaid | MO | |
| 4294 | Other | MO | BCBS MISSOURI |
| Provider Name | William J Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093805897 PECOS PAC ID: 1759282080 Enrollment ID: I20040122000434 |
| Provider Name | Mindi Suzanne Garner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831192921 PECOS PAC ID: 1658274204 Enrollment ID: I20040805000016 |
| Provider Name | Ali Hammad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154354892 PECOS PAC ID: 1850362542 Enrollment ID: I20040805000055 |
| Provider Name | John David Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457446791 PECOS PAC ID: 6406821347 Enrollment ID: I20040901001477 |
| Provider Name | Mark D Carlson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184736498 PECOS PAC ID: 2264479310 Enrollment ID: I20050411001155 |
| Provider Name | Michael W Cannon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982666236 PECOS PAC ID: 7416994249 Enrollment ID: I20050413000861 |
| Provider Name | Michael Baker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891883120 PECOS PAC ID: 3072558667 Enrollment ID: I20050623000819 |
| Provider Name | Justin R Reading |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194733394 PECOS PAC ID: 9234136284 Enrollment ID: I20061103000465 |
| Provider Name | Bryan O Baxley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902934870 PECOS PAC ID: 1456454073 Enrollment ID: I20070319000571 |
| Provider Name | Shanna R Albright |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770612772 PECOS PAC ID: 2567565096 Enrollment ID: I20070321000200 |
| Provider Name | Meredith K Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588843833 PECOS PAC ID: 3375633902 Enrollment ID: I20071219000379 |
| Provider Name | Daniel J Koehn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164528220 PECOS PAC ID: 6709956824 Enrollment ID: I20080602000487 |
| Provider Name | Bashar J Marji |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508804113 PECOS PAC ID: 5092803718 Enrollment ID: I20081001000102 |
| Provider Name | Chang Qing Xun |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992983498 PECOS PAC ID: 5496815235 Enrollment ID: I20081124000302 |
| Provider Name | Amy Carol Gibson Bebee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104947456 PECOS PAC ID: 0648347591 Enrollment ID: I20100310000496 |
| Provider Name | Jesse M Niederklein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710219225 PECOS PAC ID: 7618009226 Enrollment ID: I20100717000165 |
| Provider Name | Aaron W Burd |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114017928 PECOS PAC ID: 0840314787 Enrollment ID: I20100830001110 |
| Provider Name | Heather L Baima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588971378 PECOS PAC ID: 1759552490 Enrollment ID: I20110929000024 |
| Provider Name | Douglas Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417121492 PECOS PAC ID: 3375681851 Enrollment ID: I20130318000228 |
| Provider Name | Michael S Fenech |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588893697 PECOS PAC ID: 6305089905 Enrollment ID: I20130829000680 |
| Provider Name | Brett D Dunbar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710141965 PECOS PAC ID: 1355584848 Enrollment ID: I20130903000178 |
| Provider Name | Alicia M Evans |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568898674 PECOS PAC ID: 1759516719 Enrollment ID: I20150727000983 |
| Provider Name | Jessilyn R Humble |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740541234 PECOS PAC ID: 6800103847 Enrollment ID: I20150923001948 |
| Provider Name | Eric B Delman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285745190 PECOS PAC ID: 4183685548 Enrollment ID: I20160412001855 |
| Provider Name | Muhammad R Khalid |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164684163 PECOS PAC ID: 1951532621 Enrollment ID: I20160909000665 |
| Provider Name | Eric Lup-sing Lo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497782023 PECOS PAC ID: 8123193208 Enrollment ID: I20170201002615 |
| Provider Name | Katelyn M Falk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992111710 PECOS PAC ID: 5890081079 Enrollment ID: I20170313001046 |
| Provider Name | Elizabeth Joann Marshall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437608163 PECOS PAC ID: 0547548885 Enrollment ID: I20190513001973 |
| Provider Name | Shannon Leigh Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508418633 PECOS PAC ID: 8820325343 Enrollment ID: I20190807000158 |
| Provider Name | Jarin Mclain Redman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811348592 PECOS PAC ID: 8022303171 Enrollment ID: I20190820002264 |
| Provider Name | Nathan Tillotson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770670473 PECOS PAC ID: 3274589064 Enrollment ID: I20221108001666 |
| Provider Name | Clarence Maurice Findley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962644310 PECOS PAC ID: 2062685753 Enrollment ID: I20230227002647 |
| Provider Name | Kayla Marie Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174221725 PECOS PAC ID: 0143693499 Enrollment ID: I20230307001804 |
| Provider Name | Victoria Anne Shirley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316991888 PECOS PAC ID: 0244284347 Enrollment ID: I20230501001584 |
| Provider Name | Ally Pinkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588429807 PECOS PAC ID: 2163868738 Enrollment ID: I20240306002551 |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Services 1 Mt. Carmel Way, Pittsburg, KS 66762-6643 Ph: (620) 235-7995 | Professional Services 1 Mt. Carmel Way, Pittsburg, KS 66762-6643 Ph: (620) 235-7995 |