| Ottawa Family Physicians, Chartered | |
|
1418 S Main St Suite 5 Ottawa KS 66067-3543 | |
| (785) 242-1620 | |
| (785) 242-3825 |
| Full Name | Ottawa Family Physicians, Chartered |
|---|---|
| Speciality | Family Medicine |
| Location | 1418 S Main St, Ottawa, Kansas |
| Authorized Official Name and Position | Dennis Phillip Spratt (PRESIDENT) |
| Authorized Official Contact | 7852421620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ottawa Family Physicians, Chartered 1418 S Main St Suite 5 Ottawa KS 66067-3543 Ph: (785) 242-1620 | Ottawa Family Physicians, Chartered 1418 S Main St Suite 5 Ottawa KS 66067-3543 Ph: (785) 242-1620 |
| NPI Number | 1477598837 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 10/02/2009 |
| Medicare PECOS PAC ID | 7416900113 |
|---|---|
| Medicare Enrollment ID | O20050222000840 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477598837 | NPI | - | NPPES |
| 003800 | Other | KS | BLUE CROSS BLUE SHIELD GR |
| 100004330B | Medicaid | KS | |
| 100004330E | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Willard B Ransom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225064801 PECOS PAC ID: 9830145697 Enrollment ID: I20050324000329 |
| Provider Name | Dennis P Spratt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679509236 PECOS PAC ID: 6901843515 Enrollment ID: I20050414001193 |
| Provider Name | Akinola E Ojeleye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851327118 PECOS PAC ID: 5496793234 Enrollment ID: I20050421000623 |
| Provider Name | Ellen Sinclair Webber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861429458 PECOS PAC ID: 7416990601 Enrollment ID: I20050608000756 |
| Provider Name | John C Gollier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104857911 PECOS PAC ID: 4981647914 Enrollment ID: I20050609000863 |
| Provider Name | Sara R Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447278007 PECOS PAC ID: 5294828810 Enrollment ID: I20070912000334 |
| Provider Name | Robert D Nichols |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063568673 PECOS PAC ID: 2567509607 Enrollment ID: I20091022000493 |
| Provider Name | Matthew C Simmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467747840 PECOS PAC ID: 6103074844 Enrollment ID: I20140709000460 |
| Provider Name | Katherine D Easley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336547793 PECOS PAC ID: 6709100753 Enrollment ID: I20150121001973 |
| Provider Name | Lisa M Kerley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700210150 PECOS PAC ID: 9931419934 Enrollment ID: I20151103002311 |
| Provider Name | Holly A Medlen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932571262 PECOS PAC ID: 7315236718 Enrollment ID: I20160524000798 |
| Provider Name | Heather Otwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306380886 PECOS PAC ID: 5597046474 Enrollment ID: I20170109001107 |
| Provider Name | Lisa Marie Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932647450 PECOS PAC ID: 0547544660 Enrollment ID: I20170308001593 |
| Provider Name | Genna Siemons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902210388 PECOS PAC ID: 6103043476 Enrollment ID: I20170501002094 |
| Provider Name | Gina Peek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003223678 PECOS PAC ID: 8426327040 Enrollment ID: I20170712003602 |
| Provider Name | Amber Morse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336648377 PECOS PAC ID: 6103189790 Enrollment ID: I20180412001665 |
| Provider Name | Ashley Cheyenne Ruzich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346736832 PECOS PAC ID: 5890044895 Enrollment ID: I20180824001401 |
| Provider Name | Briana B Finch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740811660 PECOS PAC ID: 5294162160 Enrollment ID: I20200305002385 |
| Provider Name | Daleen Marie Royer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396466850 PECOS PAC ID: 3375913072 Enrollment ID: I20230105002889 |
| Provider Name | Tiffinie Hazen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780435115 PECOS PAC ID: 7315388998 Enrollment ID: I20240514001931 |
Ottawa Family Physicians, Chartered Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 E 19th St Ste A, Ottawa, KS 66067 Phone: 785-214-4903 Fax: 785-214-4622 | |
Lawrence Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1402 S Main St, Ottawa, KS 66067 Phone: 785-242-1707 Fax: 785-242-1709 | |
Recovery Services Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 W 2nd St, Ottawa, KS 66067 Phone: 785-242-2991 Fax: 785-242-4401 | |
Ransom Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1428 S Main St, Suite 4, Ottawa, KS 66067 Phone: 785-248-2902 | |
Evernorth Direct Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 N Davis Ave, Ottawa, KS 66067 Phone: 623-277-1190 | |
Heartland Pulmonary & Internal Medicine, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1428 S Main St, Ottawa, KS 66067 Phone: 785-242-4465 Fax: 785-242-0211 | |
Adventhealth Ransom Memorial, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1301 S Main St, Ottawa, KS 66067 Phone: 785-229-8200 |