JEFFERSON MEDICAL CLINIC
NPI 1750354908
Physician Assistant in Winchester, KS

NPI Status: Active since February 08, 2006

Contact Information

408 DELAWARE ST
WINCHESTER, KS
ZIP 66097
Phone: (913) 774-4340
Fax: (913) 774-3379

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  • Organization
  • Physician Assistant
  • Accepts Insurance

About JEFFERSON MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Jefferson Medical Clinic, a primary care provider established in Winchester, Kansas operating as a Physician Assistant. The healthcare provider is registered in the NPI registry with number 1750354908 assigned on February 2006. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Jefferson Medical Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Jefferson Medical Clinic. The authorized official of this NPI record is Lamont Cook (Ceo)

NPI
1750354908
Provider Legal Name
JEFFERSON COUNTY MEMORIAL HOSPITAL, INC
Other Organization Name
JEFFERSON MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
408 DELAWARE ST WINCHESTER, KS 66097
Location Phone
(913) 774-4340
Location Fax
(913) 774-3379
Mailing Address
408 DELAWARE ST WINCHESTER, KS 66097
Mailing Phone
(913) 774-4340
Mailing Fax
(913) 774-3379
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-08-2006
Last Update Date
09-09-2021
Code Navigator

A primary care provider (PCP) like Jefferson Medical Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + CVS Health Virtual Primary Care - EPO
  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - EPO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
  • Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
  • Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
  • Bronze S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
  • Gold S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
  • Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
  • Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
  • Silver 5 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
  • BlueCare EPO Bronze - EPO
  • BlueCare EPO Gold - EPO
  • BlueCare EPO Gold Plus - EPO
  • BlueCare EPO Silver Plus - EPO
  • BlueCare EPO Simple Bronze HDHP - EPO
  • BlueCare EPO Simple Silver HDHP - EPO
  • BlueCare EPO Standardized Expanded Bronze - EPO
  • BlueCare EPO Standardized Gold - EPO
  • BlueCare EPO Standardized Silver - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LAMONT COOK

Authorized Official Title
CEO
Authorized Official Phone
(913) 774-4340

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
100080370FMEDICAID (05)KS 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750354908
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710065890
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 5 + 8 + 9 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1750354908 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477582088JEFFERSON COUNTY MEMORIAL HOSPITAL, INC.
Organization
Nursing Facility/Intermediate Care Facility408 DELAWARE ST
WINCHESTER, KS 66097
(913) 774-4340
1366476483JEFFERSON COUNTY MEMORIAL HOSPITAL, INC.
Organization
Assisted Living Facility408 DELAWARE ST
WINCHESTER, KS 66097
(913) 774-4340
1154425544 MARK D MILLER PA-C
Individual
Physician Assistant408 DELAWARE ST
WINCHESTER, KS 66097
(913) 774-4340
1952485583 MICHAEL F LAW PA
Individual
Physician Assistant408 DELAWARE ST
WINCHESTER, KS 66097
(913) 343-5398
1043480601 JOAN T FOSTER OTR
Individual
Occupational Therapist408 DELAWARE ST
WINCHESTER, KS 66097
(913) 367-4129
1588966378JEFFERSON COUNTY MEMORIAL HOSPITAL INC
Organization
Clinic/Center (Rural Health)408 DELAWARE ST
WINCHESTER, KS 66097
(913) 774-4340
1700245057JEFFERSON COUNTY MEMORIAL HOSPITAL
Organization
Clinic/Center (Multi-Specialty)408 DELAWARE ST
WINCHESTER, KS 66097
(913) 774-4340
1174568257JEFFERSON COUNTY MEMORIAL HOSPITAL, INC
Organization
Medicare Defined Swing Bed Unit408 DELAWARE ST
WINCHESTER, KS 66097
(913) 933-4020
1235167750JEFFERSON COUNTY MEMORIAL HOSPITAL, INC
Organization
General Acute Care Hospital (Critical Access)408 DELAWARE ST
WINCHESTER, KS 66097
(913) 933-4020
1114012226 GERALDINE LOWEEN LONG R.N., N.P.
Individual
Nurse Practitioner (Family)408 DELAWARE ST
WINCHESTER, KS 66097
(913) 774-4340
1609520550 SHELBY SPRANG DNP, FNP-C
Individual
Nurse Practitioner (Primary Care)408 DELAWARE ST
WINCHESTER, KS 66097
(844) 536-9449
1083345920 CATHRYN PALENSKE APRN
Individual
Nurse Practitioner (Family)408 DELAWARE ST
WINCHESTER, KS 66097
(844) 536-9449
1174302632 ALEXANDER OVERBEY DNP-C
Individual
Nurse Practitioner (Family)408 DELAWARE ST
WINCHESTER, KS 66097
(844) 536-9449

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750354908, enumerated in the NPI registry as an "organization" on February 08, 2006

The provider is located at 408 Delaware St Winchester, Ks 66097 and the phone number is (913) 774-4340

This medical organization specializes in Physician Assistant with taxonomy code 363A00000X

The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 08, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.