DR. THERESE ELIZABETH CUSICK (NPI# 1043217722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043217722 |
| Entity Type | Individual |
| Full Name | DR. THERESE ELIZABETH CUSICK |
| Credential | MD |
| Practice Address |
818 N Emporia St Suite 200 Wichita KS 67214-3729 |
| Practice Telephone | 3162630296 |
| Practice Fax Number | 3162639523 |
| Mailing Telephone | 3162630296 |
| Mailing Fax Number | 3162639523 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2010-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 0427649 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100357660A | 05 |
| Street Address |
818 N EMPORIA ST SUITE 200 |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-3729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033116835 | Duane L Osborne | Surgery | 818 N Emporia St, Suite 200, Wichita, KS 67214-3729 | 2005-07-07 |
| 1053727800 | Tracy D Smith | Nurse Practitioner | 818 N Emporia St, Suite 310, Wichita, KS 67214-3729 | 2014-07-01 |
| 1336401082 | Aaron Nilhas | Surgery | 818 N Emporia St, Suite 200, Wichita, KS 67214-3729 | 2012-06-08 |
| 1205164282 | Bernard T. Poole, Md, Pa | Orthopaedic Surgery | 818 N Emporia St, Suite 107, Wichita, KS 67214-3729 | 2009-12-02 |
| 1679704845 | Julianna M Bergkamp | Nurse Practitioner | 818 N Emporia St, Suite 403, Wichita, KS 67214-3729 | 2009-08-05 |
| 1609004316 | Amanda M Valliant | Internal Medicine | 818 N Emporia St, Suite 310, Wichita, KS 67214-3729 | 2009-07-01 |
| 1730320367 | Kathy Ornelas | Specialist/Technologist, Other | 818 N Emporia St, Suite 200, Wichita, KS 67214-3729 | 2009-03-11 |
| 1437316387 | Ronnie K Moussa | Internal Medicine | 818 N Emporia St, Suite 310, Wichita, KS 67214-3729 | 2008-05-19 |
| 1104025949 | Wissam Saliba | Internal Medicine | 818 N Emporia St, Wichita, KS 67214-3729 | 2007-07-12 |
| 1528263043 | Jeremy Deutsch | Internal Medicine | 818 N Emporia St, Suite 403, Wichita, KS 67214-3729 | 2007-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659717023 | Paige Harwell | Surgery | 818 N Emporia St Ste 303, Wichita, KS 67214 | 2013-05-13 |
| 1508108945 | Jarvis Wayne Walters | Surgery | 4013 N Ridge Rd Ste 210, Wichita, KS 67205-8860 | 2013-03-25 |
| 1609114842 | Frederic C Chang | Surgery | 35 E Via Roma St, Wichita, KS 67230-1602 | 2013-01-23 |
| 1760758791 | Sammy H. Kouri | Surgery | 619 N Armour Wichita, Wichita, KS 67206 | 2012-03-23 |
| 1215222542 | Rori Mankins | Surgery | 818 N Emporia St Ste 200, Wichita, KS 67214 | 2011-06-15 |
| 1710271549 | Mark Mankins | Surgery | 9350 E 35th St N Ste 103, Wichita, KS 67226-2022 | 2011-06-09 |
| 1306007430 | Andrew S Hentzen | Surgery | 3243 E Murdock St Ste 4404, Wichita, KS 67208-3052 | 2008-06-20 |
| 1609036326 | Thomas Robert Resch | Surgery | 818 N. Emporia, Suite 200, Wichita, KS 67214 | 2008-06-16 |
| 1972663946 | John Vincent Young Jr. | Surgery | 8106 E Champions St, Wichita, KS 67226-3324 | 2006-12-11 |
| 1700979473 | Hector O. Fernandez Sr. | Surgery | 1333 N. Broadway, Ste. A, Wichita, KS 67214 | 2006-10-02 |
| 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.