| Adventhealth Ransom Memorial, Inc. | |
|
1301 S Main St Ottawa KS 66067-3537 | |
| (785) 229-8200 | |
| Not Available |
| Full Name | Adventhealth Ransom Memorial, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1301 S Main St, Ottawa, Kansas |
| Authorized Official Name and Position | Shawn Perry (CFO) |
| Authorized Official Contact | 7852298244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventhealth Ransom Memorial, Inc. 7315 E Frontage Rd Ste 202 Merriam KS 66204-1658 Ph: () - | Adventhealth Ransom Memorial, Inc. 1301 S Main St Ottawa KS 66067-3537 Ph: (785) 229-8200 |
| NPI Number | 1407319957 |
|---|---|
| Provider Enumeration Date | 04/11/2019 |
| Last Update Date | 01/25/2024 |
| Medicare PECOS PAC ID | 4486996907 |
|---|---|
| Medicare Enrollment ID | O20190510001418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407319957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Thaju Salam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295794733 PECOS PAC ID: 8628032547 Enrollment ID: I20050317000880 |
| Provider Name | Kenneth L Wertzberger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083672141 PECOS PAC ID: 4688611296 Enrollment ID: I20050414001131 |
| Provider Name | Dale D Dalenberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245313691 PECOS PAC ID: 6204878002 Enrollment ID: I20050523000529 |
| Provider Name | Billy B Perry |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598731267 PECOS PAC ID: 1850321712 Enrollment ID: I20050825001047 |
| Provider Name | Bob E Green |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316946544 PECOS PAC ID: 8921051426 Enrollment ID: I20051029000339 |
| Provider Name | Anthony A Albracht |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1841299112 PECOS PAC ID: 0446203921 Enrollment ID: I20051031000412 |
| Provider Name | Michelle Lynn Dew |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003853763 PECOS PAC ID: 6305853243 Enrollment ID: I20060316000618 |
| Provider Name | Joel D Kavan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497749295 PECOS PAC ID: 9032112131 Enrollment ID: I20060810000143 |
| Provider Name | Evan J Swanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144223066 PECOS PAC ID: 3173527595 Enrollment ID: I20060826000042 |
| Provider Name | Aruna Baratham |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1518989557 PECOS PAC ID: 1355346768 Enrollment ID: I20060918000474 |
| Provider Name | Sara E Krueger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235119595 PECOS PAC ID: 3678673258 Enrollment ID: I20070711000810 |
| Provider Name | Sara R Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447278007 PECOS PAC ID: 5294828810 Enrollment ID: I20070912000334 |
| Provider Name | Rakesh Gaur |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1780630368 PECOS PAC ID: 6507805264 Enrollment ID: I20071112000608 |
| Provider Name | Rodney T Mccalla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477545671 PECOS PAC ID: 2769556216 Enrollment ID: I20080801000328 |
| Provider Name | Christopher Eckland |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932281714 PECOS PAC ID: 4082706577 Enrollment ID: I20080828000525 |
| Provider Name | Jo A Mccalla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225043888 PECOS PAC ID: 6002982790 Enrollment ID: I20080903000481 |
| Provider Name | Kevin Miles Latinis |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1699878686 PECOS PAC ID: 8729056726 Enrollment ID: I20090427000226 |
| Provider Name | Farhan A Sheikh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265551873 PECOS PAC ID: 1456402635 Enrollment ID: I20090629000402 |
| Provider Name | Cristine Lorraine Goodwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548486251 PECOS PAC ID: 1153473848 Enrollment ID: I20090709000675 |
| Provider Name | Sarah Jayne Landers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427177336 PECOS PAC ID: 3072665546 Enrollment ID: I20090714000356 |
| Provider Name | Mouhammed Kyasa |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568574978 PECOS PAC ID: 2769550524 Enrollment ID: I20091125000273 |
| Provider Name | Takeshi Seto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154323160 PECOS PAC ID: 9133294085 Enrollment ID: I20100618000115 |
| Provider Name | Brenda L Pfizenmaier |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962713545 PECOS PAC ID: 8921123969 Enrollment ID: I20100915000317 |
| Provider Name | Cheryl Jo Allen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275779183 PECOS PAC ID: 6901921949 Enrollment ID: I20100915000343 |
| Provider Name | Jaclyn D Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326358557 PECOS PAC ID: 7113114653 Enrollment ID: I20101209000215 |
| Provider Name | Ali Shwaiki |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1407802895 PECOS PAC ID: 2668433657 Enrollment ID: I20110720000432 |
| Provider Name | Mayank Gupta |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1023104445 PECOS PAC ID: 1355511197 Enrollment ID: I20110902000310 |
| Provider Name | Matthew A Butler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326359308 PECOS PAC ID: 0446492029 Enrollment ID: I20130810000033 |
| Provider Name | David A Cocanower |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1235270745 PECOS PAC ID: 9830150309 Enrollment ID: I20140926001309 |
| Provider Name | Stacie I Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326449687 PECOS PAC ID: 1254553373 Enrollment ID: I20141105001004 |
| Provider Name | Laura Badjalimbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336527134 PECOS PAC ID: 5193045938 Enrollment ID: I20150519002458 |
| Provider Name | Adam H Wait |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447459565 PECOS PAC ID: 2062683311 Enrollment ID: I20150916002397 |
| Provider Name | Adam P Misasi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063707438 PECOS PAC ID: 7113175050 Enrollment ID: I20160719001799 |
| Provider Name | Heath G. Wilt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740455203 PECOS PAC ID: 0446415392 Enrollment ID: I20160812000154 |
| Provider Name | Ian C Malburg |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1821384975 PECOS PAC ID: 3779871512 Enrollment ID: I20161012000051 |
| Provider Name | Abdulraheem Md Qasem |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1962692368 PECOS PAC ID: 5698916062 Enrollment ID: I20170104001869 |
| Provider Name | Andrew S Waters |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538456025 PECOS PAC ID: 0840597720 Enrollment ID: I20170411000768 |
| Provider Name | Marcus A Austenfeld |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114284874 PECOS PAC ID: 8123324670 Enrollment ID: I20170811000864 |
| Provider Name | Kelsey N Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346618998 PECOS PAC ID: 1557671112 Enrollment ID: I20171018000705 |
| Provider Name | Lesley A Hofer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386146694 PECOS PAC ID: 0042572554 Enrollment ID: I20180321002006 |
| Provider Name | Shandon W Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609349265 PECOS PAC ID: 2163760695 Enrollment ID: I20190208000267 |
| Provider Name | Adam Madl |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1922413939 PECOS PAC ID: 5698071140 Enrollment ID: I20190712000038 |
| Provider Name | Edward King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912530890 PECOS PAC ID: 5991126427 Enrollment ID: I20200609000394 |
| Provider Name | Simran-jyot A Elder |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073856738 PECOS PAC ID: 2668775115 Enrollment ID: I20200730002253 |
| Provider Name | Megan Morriss |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548642291 PECOS PAC ID: 8527372614 Enrollment ID: I20200820000349 |
| Provider Name | Jacob Morgan Kneeman |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1659734101 PECOS PAC ID: 5991129694 Enrollment ID: I20210409001010 |
| Provider Name | John P Lecluyse |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356790810 PECOS PAC ID: 9133417041 Enrollment ID: I20220912002897 |
| Provider Name | Travis Aaron Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568186468 PECOS PAC ID: 5991175143 Enrollment ID: I20230104000080 |
| Provider Name | Brian A Rowan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821059510 PECOS PAC ID: 4183797269 Enrollment ID: I20230314000709 |
| Provider Name | Allison Bell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770077695 PECOS PAC ID: 9638429772 Enrollment ID: I20230405003031 |
| Provider Name | Charles P Garrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235346743 PECOS PAC ID: 9335592880 Enrollment ID: I20240131002861 |
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