360care | |
300 S Aztec St, Montezuma, KS 67867-8811 | |
(502) 244-2420 | |
(502) 996-8282 |
Full Name | 360care |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 300 S Aztec St, Montezuma, Kansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518321769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 12-00421 (Kansas) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Provider Name | Raphael T Nguyen |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1386796845 PECOS PAC ID: 9931152170 Enrollment ID: I20050303000395 |
Provider Name | Douglas L Brown |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1083713051 PECOS PAC ID: 6406803550 Enrollment ID: I20050331001242 |
Provider Name | Cheryl E Shanks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063432094 PECOS PAC ID: 6800816927 Enrollment ID: I20051202000584 |
Provider Name | Diana Ton |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1114118361 PECOS PAC ID: 3678663408 Enrollment ID: I20120222000206 |
Provider Name | Sherry Lee Broadhurst |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003271412 PECOS PAC ID: 9234431990 Enrollment ID: I20160229001038 |
Provider Name | Scott Jason Giaimo |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1912967381 PECOS PAC ID: 2163488446 Enrollment ID: I20160523000607 |
Provider Name | Rachel Alyse Schlachter |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1568732253 PECOS PAC ID: 6507008471 Enrollment ID: I20171019000837 |
Provider Name | Bobbi L Schrag |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790218402 PECOS PAC ID: 2860758471 Enrollment ID: I20171115001915 |
Provider Name | Naresh Kumar Dugal |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1891180816 PECOS PAC ID: 0749535391 Enrollment ID: I20180730003425 |
Provider Name | Patricia Lynn Christian |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205323037 PECOS PAC ID: 8022352616 Enrollment ID: I20181210000286 |
Provider Name | Ann Marie Hanon |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1619081395 PECOS PAC ID: 9133104482 Enrollment ID: I20200211000200 |
Provider Name | Maria Rose Cosentino |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1629508833 PECOS PAC ID: 4688095128 Enrollment ID: I20200609000984 |
Provider Name | Ethan J Knowlton |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1134652977 PECOS PAC ID: 5294157558 Enrollment ID: I20200714002300 |
Provider Name | Jane Swezey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801411962 PECOS PAC ID: 1355760935 Enrollment ID: I20200930003604 |
Provider Name | Amber Raelynn Neighbors |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457934267 PECOS PAC ID: 7214336106 Enrollment ID: I20210526000811 |
Provider Name | Matthew Hakeman |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1326132374 PECOS PAC ID: 2860385663 Enrollment ID: I20210615001424 |
Provider Name | Eileen Derks-wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083276042 PECOS PAC ID: 1153653647 Enrollment ID: I20210927002194 |
Provider Name | Catherine Nicole Neufeld |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467145185 PECOS PAC ID: 1052774510 Enrollment ID: I20230830003964 |
Mailing Address | Practice Location Address |
---|---|
360care 12910 Shelbyville Rd, Suite 300, Louisville, KY 40243-1593 Ph: (855) 259-9183 | 360care 300 S Aztec St, Montezuma, KS 67867-8811 Ph: (502) 244-2420 |