PLAZA MEDICAL CENTER, INC - NPI 1437115029 - Family Medicine in Garden City, KS

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Plaza Medical Center, Inc NPPES

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

PLAZA MEDICAL CENTER, INC (NPI 1437115029) is a healthcare organization registered as a family medicine in Garden City, Kansas and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through August 23, 2027 and lists Sheri L Denton, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1437115029

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePLAZA MEDICAL CENTER, INC

Location Address911 N MAIN STGarden City, KS 67846-5400

Mailing AddressPo Box 1133Garden City, KS 67846-1133 · (620) 276-8201 · Fax (620) 275-0712

Phone(620) 276-8201

Fax(620) 275-0712

Organization SubpartNo

Authorized OfficialSheri L DentonBusiness Manager · (620) 276-8201

Enumeration DateApril 24, 2006

Last NPPES UpdateMarch 26, 2010

✔ NPI 1437115029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

911 N MAIN ST, Garden City, KS 67846

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Other Identifiers 2

Medicaid100088530BKS

Medicare NSC0251810001KS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D0453206

Commonspirit Primary Care Plaza Medical Center · Garden City, KS

Active · expires Aug 23, 2027

CLIA Number17D0453206

Laboratory TypePhysician Office

Certificate Effective DateAugust 24, 2025

Certificate Expiration DateAugust 23, 2027

Laboratory DirectorJames Zauche

Laboratory Phone(620) 276-8201

Laboratory LocationCommonspirit Primary Care Plaza Medical Center911 N Main St, Garden City, KS 67846

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. THOMAS L KOKSAL MD

Family Medicine