OSWALDO C BACANI MD CHARTERED
NPI 1407183494
General Practice in Fredonia, KS

Active since November 11, 2009CLIA 17D0706490 · Waiver
1525 MADISON ST, SUITE 3, FREDONIA, KS 66736(620) 378-3700(620) 378-3536 Get Directions Write a Review

NPPES record last updated: November 11, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Oswaldo C Bacani Md Chartered NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OSWALDO C BACANI MD CHARTERED (NPI 1407183494) is a healthcare organization registered as a general practice in Fredonia, Kansas and active in the NPI registry since November 2009. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Oswaldo C Bacani, Owner, as its authorized official.

NPPES Registry Identity

NPI1407183494
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameOSWALDO C BACANI MD CHARTERED
Location Address1525 MADISON ST, SUITE 3Fredonia, KS 66736-1703
Mailing AddressPo Box 576Fredonia, KS 66736-0576 · (620) 378-3700 · Fax (620) 378-3536
Fax(620) 378-3536
Organization SubpartNo
Authorized OfficialOswaldo C BacaniOwner · (620) 378-3700
Enumeration DateNovember 11, 2009
NPI 1407183494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in KS · 0417538
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedSurgeryTaxonomy 208600000X · License 0417538 (KS)
1525 MADISON ST, Fredonia, KS 66736

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
17D0706490
Facility Type
Physician Office
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
JENNIFER B. MCKENNEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Oswaldo C Bacani Md Chartered to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Physician Assistant
1525 MADISON ST, STE 2
FREDONIA, KS 66736
Family Medicine
1525 MADISON ST, SUITE 3
FREDONIA, KS 66736
Physician Assistant (Medical)
1525 MADISON ST, SUITE 2
FREDONIA, KS 66736
Family Medicine
1525 MADISON ST, SUITE 3
FREDONIA, KS 66736
Family Medicine
1525 MADISON ST, SUITE 3
FREDONIA, KS 66736
Family Medicine
1525 MADISON ST, SUITE 3
FREDONIA, KS 66736
Clinic/Center (Rural Health)
1525 MADISON ST, SUITE 2
FREDONIA, KS 66736

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407183494, enumerated as an "organization" on November 11, 2009.

The provider is located at 1525 MADISON ST SUITE 3 FREDONIA, KS 66736 and the phone number is (620) 378-3700.

General Practice with taxonomy code 208D00000X.