AHMAD QADDOUR (NPI# 1003160987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003160987 |
| Entity Type | Individual |
| Full Name | AHMAD QADDOUR |
| Credential | M.D. |
| Practice Address |
9300 E 29th St N Suite 310 Wichita KS 67226-2182 |
| Practice Telephone | 3168589000 |
| Practice Fax Number | 3168589005 |
| Mailing Telephone | 3168589000 |
| Mailing Fax Number | 3168589005 |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2015-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 04-36484 | KS | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
04-36484 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 201103480A | 05 |
| Street Address |
9300 E 29TH ST N SUITE 310 |
| City | WICHITA |
| State | KS |
| Zip Code | 67226-2182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992700710 | Michael D Bates | Obstetrics & Gynecology | 9300 E 29th St N, Ste 201, Wichita, KS 67226-2183 | 2005-06-17 |
| 1629500020 | Mid Kansas Intimate | Obstetrics & Gynecology | 9300 E 29th St N, Suite 201, Wichita, KS 67226-2182 | 2017-04-03 |
| 1225422488 | Heartland Pathology Diagnostics, LLC | Clinical Medical Laboratory | 9300 E 29th St N, Wichita, KS 67226-2182 | 2015-03-26 |
| 1558763482 | Myria Oakley | Specialist/Technologist | 9300 E 29th St N, Wichita, KS 67226-2182 | 2014-09-23 |
| 1639582760 | Erik Leroy Keller | Specialist/Technologist | 9300 E 29th St N, Suite 205, Wichita, KS 67226-2182 | 2014-06-05 |
| 1750794111 | Renae Joyce Williamson | Specialist | 9300 E 29th St N, Suite 205, Wichita, KS 67226-2182 | 2014-06-03 |
| 1245579788 | Cypress Rt Associates LLC | Radiology | 9300 E 29th St N, Bldg 300 Ste 410, Wichita, KS 67226-2182 | 2013-02-04 |
| 1639431208 | Melinda Bron | Obstetrics & Gynecology | 9300 E 29th St N, Suite 201, Wichita, KS 67226-2182 | 2012-06-11 |
| 1528329364 | Taylor Lynn Bertschy | Obstetrics & Gynecology | 9300 E 29th St N, Suite 201, Wichita, KS 67226-2182 | 2012-06-07 |
| 1710252390 | Central Care, Pa | Specialist | 9300 E 29th St N, Ste 315, Wichita, KS 67226-2182 | 2012-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111649 | Kansas Diabetes and Endocrinology Center LLC | Clinic/Center | 3161 N Webb Rd, Suite 200, Wichita, KS 67226 | 2018-10-25 |
| 1619474020 | Village Dentistry, Pa | Dentist | 2222 N. Greenwich, Suite 400, Wichita, KS 67226 | 2018-04-11 |
| 1861910408 | Lindsay Beth Kachelmeier | Marriage & Family Therapist | 6525 E Mainsgate, Wichita, KS 67226 | 2017-09-04 |
| 1659800084 | Doris Kimbrell | Clinical Nurse Specialist | 8200 East Thorn, Wichita, KS 67226 | 2017-06-08 |
| 1467986836 | Megan Elizabeth Couey | Counselor | 8623 E 32nd St. N, Suite 100, Wichita, KS 67226 | 2017-04-12 |
| 1306298922 | Wilson Yip | Dentist | 2222 N Greenwich Rd, Wichita, KS 67226 | 2016-07-07 |
| 1396102315 | Healthy Balance Center, LLC | Marriage & Family Therapist | 8100 E 22nd St. North, #1800-2, Wichita, KS 67226 | 2016-01-21 |
| 1851775142 | Cardiac Cath Lab of Wichita Lp | Clinic/Center | 3555 North Webb Rd., Suite A, Wichita, KS 67226 | 2015-07-16 |
| 1114334067 | Jane Crawford | Nurse Practitioner | 8623 E 32nd St N, Wichita, KS 67226 | 2014-07-11 |
| 1801202882 | Erin Kellie Jeffress | Occupational Therapy Assistant | 3500 N Rock Rd, Building 2200, Ste 101, Wichita, KS 67226 | 2014-07-10 |
| Find all providers in zip 67226 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417347857 | Kansas Vascular Medicine, P.a. | Internal Medicine | 6130 E Central Ave Ste 117, Wichita, KS 67208-4238 | 2015-01-23 |
| 1114234101 | James Clinton Mershon | Internal Medicine | 7617 E Donegal St, Wichita, KS 67206-1613 | 2010-09-12 |
| 1417077272 | Richard B Bloom | Internal Medicine | 3730 N Ridge Rd Ste 200, Kansas Endovascular Medicine Associates, Wichita, KS 67205-1228 | 2007-03-29 |
| 1316013469 | Eecp Heart Center of Kansas Inc | Internal Medicine | 551 N Hillside St Ste 130, Wichita, KS 67214-4924 | 2006-11-28 |
| 1588646236 | Daniel Ryan Alvarez | Internal Medicine | 1515 S Clifton Ave Ste 320, Wichita, KS 67218-2953 | 2005-11-17 |
| 1063419109 | Jaime R Melean | Internal Medicine | 1431 Bluffview St, Ste 112, Wichita, KS 67218-3039 | 2005-07-05 |
| 1386640233 | Charles W Beck | Internal Medicine | 3535 N Webb Rd, Wichita, KS 67226-8127 | 2005-06-24 |
| 1194721951 | Dan A Francisco Md Pa | Internal Medicine | 1515 S Clifton Ave, Ste 150, Wichita, KS 67218-2957 | 2005-06-24 |
| 1619973906 | James A.m. Smith | Internal Medicine | 925 N Hillside St, Wichita, KS 67214-3219 | 2005-06-22 |
| 1710472162 | Christian A. Hourani, Md, Pa | Internal Medicine | 9350 E 35th St N Ste 101, Wichita, KS 67226-2022 | 2018-06-28 |
| Find all providers in WICHITA | ||||
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| 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.