| Jordan Anthony Marshall, MD | |
|
2354 N Sandplum St, Wichita, KS 67205-1094 | |
| (316) 761-1415 | |
| Not Available |
| Full Name | Jordan Anthony Marshall |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 6 Years |
| Location | 2354 N Sandplum St, Wichita, Kansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841816840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 04-50962 (Kansas) | Primary |
| 208000000X | Pediatrics | 04-50962 (Kansas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| William Newton Memorial Hospital | Winfield, KS | Hospital |
| St. Catherine Hospital - Garden City | Garden city, KS | Hospital |
| St Catherine Hospital - Dodge City | Dodge city, KS | Hospital |
| Bob Wilson Memorial Hospital | Ulysses, KS | Hospital |
| Newman Regional Health | Emporia, KS | Hospital |
| Bob Wilson Memorial Hospital | Ulysses, KS | Nursing home |
| William Newton Memorial Hospital | Winfield, KS | Nursing home |
| Stafford County Hospital | Stafford, KS | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| William Newton Memorial Hospital | 5294648937 | 45 |
| Vigilias Llc | 9133433279 | 49 |
| Entity Name | William Newton Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1548229149 PECOS PAC ID: 5294648937 Enrollment ID: O20031110000304 |
| Entity Name | William Newton Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548229149 PECOS PAC ID: 5294648937 Enrollment ID: O20050302000638 |
| Entity Name | Vigilias LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407242241 PECOS PAC ID: 9133433279 Enrollment ID: O20150803000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Anthony Marshall, MD 2354 N Sandplum St, Wichita, KS 67205-1094 Ph: (316) 761-1415 | Jordan Anthony Marshall, MD 2354 N Sandplum St, Wichita, KS 67205-1094 Ph: (316) 761-1415 |
Ahmad Qaddour, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9300 E 29th St N, Suite 310, Wichita, KS 67226 Phone: 316-858-9000 Fax: 316-858-9005 |
Kathryn Watkins Brickman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 N Hillside St, Wichita, KS 67214 Phone: 316-962-2000 Fax: 303-306-7753 |
Ray F Fisher, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 818 N Carriage Pkwy, Wichita, KS 67208 Phone: 316-651-2252 Fax: 316-651-2314 |
Mitchell A Morgan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1131 S Clifton Ave, Suite B, Wichita, KS 67218 Phone: 316-462-1040 Fax: 316-462-1042 |
Dr. Kent B Murray, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5500 E Kellogg Dr, Wichita, KS 67218 Phone: 316-651-3603 Fax: 316-651-6666 |
Dr. Raghu C Chaparala, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2160 W 21st St N, Wichita, KS 67203 Phone: 316-267-7175 Fax: 316-425-7799 |
Layne M Reusser, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9350 E 35th St N, Ste 101, Wichita, KS 67226 Phone: 316-265-1308 Fax: 316-712-9286 |