Active NPI 1902870637 Individual Practitioner Female Practitioner

Dr. Shanon L Custer , MD

Internal Medicine • Hays, KS

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Shanon Custer, MD is a registered Internal Medicine practitioner in Hays, KS. With approximately 24 years of clinical practice since graduating from University Of Kansas School Of Med (Kc/Wich/Sal) in 2002, Dr. Custer provides healthcare services at the registered practice location at 2214 CANTERBURY DR.

Dr. Custer is affiliated with Hays Medical Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, chronic care management services, first, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2214 Canterbury Dr
Suite 202

Hays, KS 676012375

Telephone 7856232312

Fax 7856232323

Associated Practice Facility / Clinic

🏢 Hays Medical Center, Inc. Facility NPI 1255308045

Medicare Profile & Education

Medical School

University Of Kansas School Of Med (Kc/wich/sal)

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Hays, KS

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +8.0 yrs vs City Avg

City Avg: 16.0 Yrs

State Avg: 25.6 Yrs

Regional Practice Density

7 Specialists

Practicing in Hays, KS (1061 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Custer (24 Years) 24 Yrs

Hays Specialty Average (16.0 Years) 16.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	2,264	1,643	$40.00	$7.50
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	2,148	379	$120.00	$46.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,216	514	$97.47	$89.91
99213 Established patient office or other outpatient visit, typically 15 minutes	540	306	$65.42	$60.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	161	133	$142.94	$133.03
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	123	108	$38.00	$15.32
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	94	25	$229.00	$99.59
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	65	27	$99.00	$38.33
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	53	46	$128.00	$49.08
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	25	16	$176.00	$68.73
69210 Removal of impacted ear wax	13	13	$64.62	$29.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$300.00	$112.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	11	$512.00	$159.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$151.50	$122.93
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	12	12	$40.00	$7.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	2,195	1,574	$40.00	$7.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,001	429	$100.49	$91.35
99213 Established patient office or other outpatient visit, typically 15 minutes	596	328	$59.02	$58.19
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	351	251	$120.00	$47.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	186	136	$134.46	$132.04
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	86	84	$120.00	$58.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	59	59	$300.00	$119.97
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	54	23	$229.00	$99.65
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	53	47	$128.00	$48.52
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	45	19	$176.00	$69.49
69210 Removal of impacted ear wax	41	40	$52.68	$30.27
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	36	23	$99.00	$38.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	1,201	1,002	$40.00	$7.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	990	497	$105.23	$93.81
99213 Established patient office or other outpatient visit, typically 15 minutes	753	425	$65.29	$59.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	190	67	$182.00	$63.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	131	108	$134.66	$133.64
99231 Follow-up hospital inpatient care per day, typically 15 minutes	62	37	$98.00	$36.53
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	34	18	$176.00	$64.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$241.79	$128.01
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	33	29	$128.00	$49.71
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	29	11	$263.00	$66.84
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	28	24	$229.00	$85.44
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	26	16	$99.00	$38.27
99238 Hospital discharge day management, 30 minutes or less	24	22	$184.00	$67.94
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$105.00	$86.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	20	$170.00	$122.46
69210 Removal of impacted ear wax	20	19	$46.00	$30.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$346.00	$127.25
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	18	18	$87.00	$20.89
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	17	17	$150.00	$13.98
99217 Hospital observation care on day of discharge	16	16	$175.00	$67.74
99239 Hospital discharge day management, more than 30 minutes	14	13	$271.00	$94.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	1,716	1,336	$40.00	$8.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,201	578	$107.99	$96.01
99213 Established patient office or other outpatient visit, typically 15 minutes	662	405	$73.73	$61.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	314	91	$182.00	$68.32
99231 Follow-up hospital inpatient care per day, typically 15 minutes	130	57	$98.00	$36.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	125	108	$136.06	$133.79
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	67	29	$263.00	$99.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$250.00	$130.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	40	$170.00	$124.15
99239 Hospital discharge day management, more than 30 minutes	48	39	$271.00	$101.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	38	$512.00	$191.87
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	40	24	$229.00	$87.02
99238 Hospital discharge day management, 30 minutes or less	35	35	$184.00	$69.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	31	$40.75	$34.41
99213 Established patient office or other outpatient visit, typically 15 minutes	31	25	$105.00	$87.22
99217 Hospital observation care on day of discharge	26	24	$175.00	$69.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$346.00	$129.87
99220 Hospital observation care, typically 70 minutes	20	17	$449.00	$174.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$180.00	$80.30
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	15	15	$87.00	$20.77
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	14	14	$150.00	$14.26
99226 Subsequent observation care, typically 35 minutes per day	13	12	$254.00	$99.04
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$257.00	$95.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	1,768	1,282	$40.00	$8.32
99213 Established patient office or other outpatient visit, typically 15 minutes	953	527	$65.85	$49.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	832	447	$110.43	$76.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	286	102	$182.00	$70.53
99213 Established patient office or other outpatient visit, typically 15 minutes	117	76	$105.00	$71.57
99231 Follow-up hospital inpatient care per day, typically 15 minutes	105	62	$98.00	$37.84
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	63	29	$263.00	$101.59
99442 Telephone medical discussion with physician, 11-20 minutes	60	54	$82.83	$70.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	60	49	$512.00	$196.90
99239 Hospital discharge day management, more than 30 minutes	53	41	$271.00	$103.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$246.28	$125.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	49	49	$346.00	$133.53
99238 Hospital discharge day management, 30 minutes or less	46	41	$184.00	$70.84
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	39	32	$128.00	$50.84
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	35	20	$99.00	$38.91
99217 Hospital observation care on day of discharge	26	23	$175.00	$70.54
99225 Subsequent observation care, typically 25 minutes per day	23	13	$183.00	$70.86
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	22	22	$87.00	$21.89
99220 Hospital observation care, typically 70 minutes	22	19	$449.00	$180.18
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	21	21	$150.00	$14.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$170.00	$104.38
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	18	18	$176.00	$67.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$34.00	$25.06
99443 Telephone medical discussion with physician, 21-30 minutes	14	13	$109.64	$103.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$165.33	$73.44
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	12	12	$229.00	$88.94
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	11	11	$229.00	$87.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	1,691	1,240	$40.00	$8.19
99213 Established patient office or other outpatient visit, typically 15 minutes	1,230	529	$60.46	$49.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	689	386	$105.38	$75.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	426	173	$182.00	$69.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	310	166	$98.00	$37.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	135	129	$346.00	$130.93
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	78	37	$263.00	$99.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	67	49	$512.00	$193.74
99238 Hospital discharge day management, 30 minutes or less	62	51	$184.00	$69.77
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	50	30	$176.00	$65.83
99239 Hospital discharge day management, more than 30 minutes	44	37	$271.00	$102.44
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	41	29	$229.00	$87.39
99221 Initial hospital inpatient care per day, typically 30 minutes	41	39	$257.00	$96.59
99220 Hospital observation care, typically 70 minutes	25	24	$449.00	$177.92
99217 Hospital observation care on day of discharge	23	22	$175.00	$69.75
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	18	$128.00	$50.11
99225 Subsequent observation care, typically 25 minutes per day	16	14	$183.00	$69.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$226.75	$123.23
17000 Destruction of skin growth	12	11	$75.00	$50.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	1,682	1,253	$40.00	$7.93
99213 Established patient office or other outpatient visit, typically 15 minutes	1,222	520	$60.79	$47.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	708	395	$101.61	$73.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	389	160	$182.00	$67.72
99231 Follow-up hospital inpatient care per day, typically 15 minutes	194	111	$98.00	$36.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	102	98	$346.00	$126.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	93	76	$512.00	$188.53
99239 Hospital discharge day management, more than 30 minutes	75	59	$271.00	$100.08
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	74	40	$263.00	$97.03
99238 Hospital discharge day management, 30 minutes or less	59	50	$184.00	$67.80
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	52	35	$176.00	$64.09
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	37	28	$229.00	$84.73
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	25	25	$229.00	$85.44
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$257.00	$93.78
99217 Hospital observation care on day of discharge	18	18	$175.00	$67.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$199.76	$103.38
99220 Hospital observation care, typically 70 minutes	15	14	$449.00	$173.31
99225 Subsequent observation care, typically 25 minutes per day	12	11	$183.00	$68.13
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	11	11	$87.00	$19.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,255	539	$92.66	$75.25
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	1,026	814	$40.00	$8.13
99213 Established patient office or other outpatient visit, typically 15 minutes	682	359	$59.79	$48.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	523	198	$182.00	$68.72
99231 Follow-up hospital inpatient care per day, typically 15 minutes	212	136	$98.00	$37.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	133	123	$347.25	$130.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	105	91	$166.76	$106.17
99239 Hospital discharge day management, more than 30 minutes	92	74	$271.00	$102.50
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	80	45	$263.00	$99.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	58	50	$512.00	$190.63
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	56	32	$229.00	$87.08
99238 Hospital discharge day management, 30 minutes or less	44	37	$184.00	$69.11
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	35	21	$175.23	$65.82
99221 Initial hospital inpatient care per day, typically 30 minutes	16	15	$257.00	$96.43
99217 Hospital observation care on day of discharge	16	16	$175.00	$69.40
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	15	12	$229.00	$86.78
99225 Subsequent observation care, typically 25 minutes per day	15	14	$183.00	$69.78
99219 Hospital observation care, typically 50 minutes	13	13	$328.00	$129.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$242.85	$123.60
17000 Destruction of skin growth	11	11	$75.00	$50.09

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License KS 04-30345

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200335110A (KS)

Hospital & Practice Group Affiliations

Hays Medical Center Inc

2220 Canterbury Dr, Hays, KS 676012370

Phone: 7856502700

Hays Medical Center Inc

2214 Canterbury Dr, Hays, KS 676012375

Hays Medical Center Inc

2509 Canterbury Dr, Hays, KS 676012233

Phone: 7856235095

Hays Medical Center Inc

2220 Canterbury Dr, Hays, KS 676012370

Phone: 7856235774

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Tara Roa , PA

Physician Assistant

NPI 1043286933

Physician Assistant

Andrea Paul , PA

Physician Assistant

NPI 1144486531

Physician Assistant

Dr. Elizabeth Snyder , MD

Internal Medicine

NPI 1306188339

Doctor of Medicine (M.D.)

Kelsey Templeman , PA

Physician Assistant

NPI 1306307038

Physician Assistant

Dr. Randy Cook , DO

Internal Medicine

NPI 1508832171

Doctor of Osteopathic Medicine (D.O.)

Tiffany Dewitt , APRN

Nurse Practitioner - Family

NPI 1518610468

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 16, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location December 16, 2009

Registered at 2214 CANTERBURY DR, SUITE 202, HAYS, KS 676012375 (Tel: 7856232312)

📍

Updated Business Mailing Address December 16, 2009

Registered at 2214 CANTERBURY DR, SUITE 202, HAYS, KS 676012375 (Tel: 7856232312)

👤

Provider Name / Credentials Updated December 16, 2009

Recorded as SHANON CUSTER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2009

Internal Medicine (License #04-30345 in KS)

🟢

Initial NPI Registration & Enumeration February 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902870637

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 17, 2006

Last Update: December 16, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2214 Canterbury Dr, Suite 202

Hays, KS 676012375

Phone: 7856232312

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.