Lori C Ksander
Family Medicine

Address: 820 N Chelan Ave, Wenatchee, WA 98801-2028
Phone: 5096638711

Lori C Ksander (NPI# 1255322095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1255322095
Entity Type Individual
Full Name Lori C Ksander
Credential MD
Gender Female
Practice Address 820 N Chelan Ave
Wenatchee
WA 98801-2028
Practice Telephone 5096638711
Mailing Address 820 N Chelan Ave
Wenatchee
WA 98801-2028
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2005-11-01
Last Update Date 2014-11-20

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207Q00000X Family Medicine Allopathic & Osteopathic Physicians MD00036838 WA

Other Provider Identifier

State Identifier Issuer Type Code
WA 1255322095 MEDICAID

Physician Overview

NPI 1255322095
PAC ID by PECOS 8123059102
Professional Enrollment ID I20050830000269
Full Name Lori C Ksander
Organization Legal Name CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION
Phone Number 5096622208
Gender F
Credential MD
Medical School UNIVERSITY OF COLORADO SCHOOL OF MEDICINE
Graduation Year 1993
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 4880504596
Number of Group Practice Members 52
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
500016 CENTRAL WASHINGTON HOSPITAL
500148 CONFLUENCE HEALTH- WENATCHEE VALLEY HOSP & CLINICS

Office Location

Street Address 820 N CHELAN AVE
City WENATCHEE
State WA
Zip Code 98801-2028

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194728329 John J Loffarelli Internal Medicine 820 N Chelan Ave, Wenatchee, WA 98801-2028 2005-05-23
1831654524 Catherine Elisabeth Clift Nurse Practitioner 820 N Chelan Ave, Wenatchee, WA 98801-2028 2019-02-06
1891265088 Kelsey Marie Cibicki Nurse Practitioner 820 N Chelan Ave, Wenatchee, WA 98801-2028 2018-11-29
1568956613 Elizabeth Grace Schroeder Occupational Therapist 820 N Chelan Ave, Wenatchee, WA 98801-2028 2018-06-20
1942793757 John Reese Bradburn Physician Assistant 820 N Chelan Ave, Wenatchee, WA 98801 2018-06-07
1144711383 Samuel Richard Mikovich Pharmacist 820 N Chelan Ave, Wenatchee, WA 98801 2018-05-23
1578051744 Jessica Erin Tyrrell Dietitian, Registered 820 N Chelan Ave, Wenatchee, WA 98801-2028 2018-04-24
1821506148 Carlos Torres Counselor 820 N Chelan Ave, Wenatchee, WA 98801-2028 2018-01-22
1215442801 Tara Anderson Nurse Practitioner 820 N Chelan Ave, Wenatchee, WA 98801-2028 2017-12-05
1326552761 Jillian Marie Coons Pharmacist 820 N Chelan Ave, Wenatchee, WA 98801 2017-11-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871067843 Bfg Wenatchee Propco Iv, LLC Assisted Living Facility 817 Red Apple Rd, Wenatchee, WA 98801 2019-01-14
1982177283 Michael Lee Miller Behavior Analyst 264 N. Mission, Wenatchee, WA 98801 2019-01-09
1972073526 Daniel Jentges Family Medicine 413 N Mission St., Wenatchee, WA 98801 2018-11-27
1972010437 Daniel Nickel Occupational Therapy Assistant 217 Wetherald St, Wenatchee, WA 98801 2018-01-05
1962916379 The Professional Denture Center Dentist 533 South Mission St, Wenatchee, WA 98801 2017-11-21
1467978155 Matthew Jerauld Laws Massage Therapist 416 Ninth Street, Wenatchee, WA 98801 2017-08-15
1073051363 Kimberley Rae Chambers Massage Therapist 25 N Wenatchee Ave Suite 104, Wenatchee, WA 98801 2017-02-07
1841746187 Valentina Alvarez Counselor 145 S Worthern, Wenatchee, WA 98801 2016-08-28
1376992941 Jessica Varga Counselor 640 S Mission St., Wenatchee, WA 98801 2016-06-06
1518315225 Daane Hagen Counselor 640 S. Mission St, Wenatchee, WA 98801 2016-06-03
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy 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.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972073526 Daniel Jentges Family Medicine 413 N Mission St., Wenatchee, WA 98801 2018-11-27
1639187792 Hal D. (initial Only) Harden Family Medicine 1815 Valley Vue Rd, Wenatchee, WA 98801-1050 2006-08-04
1023042579 Richard J Beukema Family Medicine 600 Orondo Ave 1, Wenatchee, WA 98801-2800 2006-07-10
1992731541 Corinne Bassett Family Medicine 707 N Emerson Ave, Wenatchee, WA 98801-2032 2006-06-24
1649214958 Planned Parenthood of Greater Washington and North Idaho Family Medicine 900 Ferry St, Wenatchee, WA 98801-3405 2006-06-16
1376545343 Anna A. Zampona Family Medicine Central Washington Hospital Family Physicians, 1215 South Miller Street, Wenatchee, WA 98801 2005-08-10
1184620957 Lisa Jo Petersen Family Medicine 933 Red Apple Rd Ste D, Central Washington Hospital Women's Healthcare Center, Wenatchee, WA 98801-3370 2005-06-24
1447256433 Michael J. Fadich Family Medicine 1215 S Miller St, Wenatchee, WA 98801-3201 2005-06-23
1982007704 Nathan Schreiber Family Medicine 600 Orondo Ave Ste 1, Wenatchee, WA 98801-2800 2014-10-07
1942640651 Jordon B. Despain Family Medicine 820 N Chelan Ave, Wenatchee, WA 98801-2028 2013-06-26
Find all providers in WENATCHEE

Competitor

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City WENATCHEE
Zip Code 98801

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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