Unknown Individual – Obstetrics & Gynecology Physician, NPI 1114026937
Obstetrics & Gynecology Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1717 WEST EIGHTH
COFFEYVILLE, KS 67337
Phone: (620) 251-0777
Fax: (620) 251-4173
Type: Location
PO BOX 505262
SAINT LOUIS, MO 631505262
Phone: (620) 688-6566
Fax: (620) 688-6577
Type: Mailing
1400 W 4TH ST
COFFEYVILLE, KS 673373306
Phone: (620) 688-6566
Fax: (620) 688-6577
Type: Location
1717, West 8th Street, Coffeyville, Montgomery County, Kansas, 67337, United States
COFFEYVILLE, KS 673373101
Phone: (620) 251-0777
Fax: (620) 251-4173
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 67337)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OBSTETRICS/GYNECOLOGY | KS | 11042 | Removal of skin and tissue first 20 sq cm or less | 376 | 49 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | AL | |
| - | KS | |
| Nurse Practitioner | KS | |
| - | KS | |
| - | KS | |
| Certified Registered Nurse Anesthetist (Crna) | KS | |
| Certified Registered Nurse Anesthetist (Crna) | KS | |
| Orthopedic Surgery | KS | |
| General Surgery | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | KS |
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