EL DORADO CLINIC, P.A.
NPI 1770559767
Family Medicine in El Dorado, KS

Active since February 28, 2006CLIA 17D0451007 · Certificate of Compliance
700 W CENTRAL AVE, STE 205, EL DORADO, KS 67042(316) 321-2010(316) 321-8871 Get Directions Write a Review

NPPES record last updated: February 19, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About El Dorado Clinic, P.a. NPPES

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

EL DORADO CLINIC, P.A. (NPI 1770559767) is a healthcare organization registered as a family medicine in El Dorado, Kansas and active in the NPI registry since February 2006. The organization holds a CLIA Certificate of Compliance certificate valid through October 3, 2026 and lists Cherrie T Kehler, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1770559767
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEL DORADO CLINIC, P.A.
Location Address700 W CENTRAL AVE, STE 205El Dorado, KS 67042-2184
Mailing Address700 W Central Ave, Ste 205El Dorado, KS 67042-2184 · (316) 321-2010 · Fax (316) 321-8871
Fax(316) 321-8871
Organization SubpartNo
Authorized OfficialCherrie T KehlerClinic Administrator · (316) 321-8850
Enumeration DateFebruary 28, 2006
Last NPPES UpdateFebruary 19, 2010
NPI 1770559767 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.

700 W CENTRAL AVE, El Dorado, KS 67042

Other Identifiers 3

Medicaid100213650BKS
Medicare ID-Type Unspecified016238KS
Medicaid100213650AKS

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 SINGLE SPECIALTY GROUP

Accepted Insurance

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
17D0451007
Facility Type
Independent
Certificate Effective Date
October 04, 2024
Certificate Expiration Date
October 03, 2026
Laboratory Director
CHRISTOPHER SMART
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to El Dorado Clinic, P.a. after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
700 W CENTRAL AVE, STE 108
EL DORADO, KS 67042
Specialist
700 W CENTRAL AVE, SUITE 110
EL DORADO, KS 67042
Nurse Practitioner (Family)
700 W CENTRAL AVE, SUITE 206
EL DORADO, KS 67042
Family Medicine
700 W CENTRAL AVE, STE 205
EL DORADO, KS 67042
Family Medicine
700 W CENTRAL AVE, STE 205
EL DORADO, KS 67042
Family Medicine
700 W CENTRAL AVE, SUITE 205
EL DORADO, KS 67042
Pediatrics
700 W CENTRAL AVE, STE 210
EL DORADO, KS 67042
Nurse Practitioner
700 W CENTRAL AVE, SUITE 111
EL DORADO, KS 67042
Physician Assistant
700 W CENTRAL AVE, STE 205
EL DORADO, KS 67042
Family Medicine
700 W CENTRAL AVE, SUITE 206
EL DORADO, KS 67042
Family Medicine
700 W CENTRAL AVE, SUITE 206
EL DORADO, KS 67042
Physical Therapist
700 W CENTRAL AVE, SUITE 400
EL DORADO, KS 67042
Internal Medicine
700 W CENTRAL AVE, SUITE 201
EL DORADO, KS 67042
Internal Medicine
700 W CENTRAL AVE, SUITE 201
EL DORADO, KS 67042
Internal Medicine
700 W CENTRAL AVE, SUITE 201
EL DORADO, KS 67042
Internal Medicine
700 W CENTRAL AVE, SUITE 201
EL DORADO, KS 67042
Internal Medicine
700 W CENTRAL AVE, SUITE 201
EL DORADO, KS 67042
Family Medicine
700 W CENTRAL AVE, SUITE 207
EL DORADO, KS 67042
Family Medicine
700 W CENTRAL AVE, STE 206
EL DORADO, KS 67042
Specialist
700 W CENTRAL AVE, SUITE 412
EL DORADO, KS 67042

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770559767, enumerated as an "organization" on February 28, 2006.

The provider is located at 700 W CENTRAL AVE STE 205 EL DORADO, KS 67042 and the phone number is (316) 321-2010.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to verify.