BETHANY J KING (NPI# 1063621449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063621449 |
| Entity Type | Individual |
| Full Name | BETHANY J KING |
| Credential | MD |
| Practice Address |
3460 N Ridge Rd Ste 160 Wichita KS 67205 |
| Mailing Address |
Po Box 2010 Laconia NH 03247-2010 |
| Practice Telephone | 3167221333 |
| Mailing Telephone | 6035243211 |
| Mailing Fax Number | 6035277038 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2018-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
0439245 | KS | Allopathic & Osteopathic Physicians |
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
16371 | NH | Allopathic & Osteopathic Physicians |
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
MD19366 | ME | Allopathic & Osteopathic Physicians |
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
241281 | MA | Allopathic & Osteopathic Physicians |
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
25MA08944200 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689234833 | Bethany Ann King | Nurse Practitioner | 10617 N Hayden Rd Ste 102, Scottsdale, AZ 85260-8200 | 2019-06-19 |
| 1497301139 | Bethany King | Nurse Practitioner | 29653 Anchor Cross Blvd, Daphne, AL 36526-9594 | 2019-08-16 |
| 1386033041 | Bethany Jill King | Registered Nurse | 5002 Underwood Ave, Omaha, NE 68132-2236 | 2015-01-20 |
| 1053683656 | Bethany Jo King | Case Manager/Care Coordinator | 1320 S Solano Dr, Las Cruces, NM 88001-3758 | 2012-01-30 |
| Street Address |
3460 N RIDGE RD STE 160 |
| City | WICHITA |
| State | KS |
| Zip Code | 67205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609875426 | Stephanie V Oberhelman | Surgery | 3460 N Ridge Rd Ste 160, Wichita, KS 67205-1223 | 2005-07-14 |
| 1669808960 | Crystal M Kutilek | Nurse Practitioner | 3460 N Ridge Rd Ste 160, Wichita, KS 67205-1223 | 2013-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295211910 | Emily M Chastain | Dentist | 3213 N. Ridge Rd, Wichita, KS 67205 | 2018-07-16 |
| 1811415466 | Awaken Psychology LLC | Clinic/Center | 2552 N Maize Ct Suite 600, Wichita, KS 67205 | 2017-09-05 |
| 1962940288 | Moc Wichita LLC | Assisted Living Facility | 7057 W Village Circle, Wichita, KS 67205 | 2017-02-07 |
| 1003362732 | Moc Wichita, LLC | Assisted Living Facility | 7057 West Village Circle, Wichita, KS 67205 | 2016-09-01 |
| 1649637653 | Abigail Friend | Audiologist-Hearing Aid Fitter | 2558 Lake Way Circle, Wichita, KS 67205 | 2016-01-21 |
| 1134505399 | Myles Davidson | Dentist | 3510 N Ridge Rd Ste 500, Wichita, KS 67205 | 2015-08-10 |
| 1093121097 | The Eye Gallery, LLC | Optometrist | 3084 N. Maize Rd, Wichita, KS 67205 | 2014-07-10 |
| 1922428721 | Sam's West, Inc. | Technician/Technologist | 3084 N. Maize Road, Witchita, KS 67205 | 2014-04-18 |
| 1447693627 | Caryn Rana Landreth | Social Worker | 3114 N Brush Creek St, Wichita, KS 67205 | 2013-04-08 |
| 1902182686 | Return To Motion Medical | Durable Medical Equipment & Medical Supplies | 3221 N Ridge Port Circle, Wichita, KS 67205 | 2011-10-26 |
| Find all providers in zip 67205 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164459558 | Kenneth A Scheinberg | Otolaryngology | 3450 N Rock Rd, Bldg. 200 Suite#207, Wichita, KS 67226-1352 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184620585 | Hannah Vargas | Otolaryngology | 20375 W 151st St., Ste #106, Olathe, KS 66061 | 2005-06-22 |
| 1871636969 | Julie Arlene Munson | Otolaryngology | 500 E Thorpe St, Lakin, KS 67860-9625 | 2007-02-15 |
| 1295875615 | Jean-michel Hassan | Otolaryngology | 555 W 15th St Ste D, Liberal, KS 67901-2468 | 2007-02-07 |
| 1891883120 | Michael P Baker | Otolaryngology | 107 N Pine, Pittsburg, KS 66762 | 2006-10-11 |
| 1235189853 | Fred S Katz | Otolaryngology | 8901 W 74th St, Suite 145, Merriam, KS 66204-2271 | 2006-05-12 |
| 1710937271 | John Christopher Johnson | Otolaryngology | 8901 W 74th St, Suite 145, Merriam, KS 66204-2271 | 2006-05-12 |
| 1902855760 | F.s. Katz Head & Neck, P.a. | Otolaryngology | 8901 W 74th St, Suite 145, Merriam, KS 66204-2271 | 2006-05-09 |
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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.