DR. BASSEM MATTA (NPI# 1114366515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114366515 |
| Entity Type | Individual |
| Full Name | DR. BASSEM MATTA |
| Credential | M.D. |
| Practice Address |
3121 N Webb Rd Ste 101 Wichita KS 67226-8119 |
| Practice Telephone | 3162613130 |
| Mailing Telephone | 3162613130 |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2020-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
04-43110 | KS | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2310 Erwin Rd, Durham, NC 277100001 | 9196848111 |
| Street Address |
3121 N WEBB RD STE 101 |
| City | WICHITA |
| State | KS |
| Zip Code | 67226-8119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962450726 | Kirsten Hoang | Physician Assistant | 3121 N Webb Rd Ste 101, Wichita, KS 67226-8119 | 2006-05-04 |
| 1710539879 | Sarah M Welch | Physician Assistant | 3121 N Webb Rd Ste 101, Wichita, KS 67226-8119 | 2019-07-09 |
| 1396262770 | Lauren Marie Zogleman | Physician Assistant | 3121 N Webb Rd Ste 101, Wichita, KS 67226-8119 | 2017-08-25 |
| 1689000762 | Madalyn Unruh | Physician Assistant | 3121 N Webb Rd Ste 101, Wichita, KS 67226-8119 | 2013-09-19 |
| 1265877427 | Heather L Lappin | Physician Assistant | 3121 N Webb Rd Ste 101, Wichita, KS 67226-8119 | 2013-05-01 |
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1558361261 | Estephan N Zayat | Internal Medicine | 3121 N Webb Rd, Suite 101, Wichita, KS 67226-8119 | 2005-07-22 |
| 1538416318 | Saritha Gorantla | Internal Medicine | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2012-08-10 |
| 1952496937 | Alonso Galvan | Internal Medicine | 1431 S Bluffview Dr, Ste. 102, Wichita, KS 67218-3039 | 2006-10-04 |
| 1861599375 | Francisco Cabatic Rausa | Internal Medicine | 1148 South Hillside, 12b, Wichita, KS 67211 | 2006-09-19 |
| 1730281932 | Maria Corazon Chang | Internal Medicine | 3311 E Murdock St, Wichita, KS 67208-3054 | 2006-09-01 |
| 1073542593 | Robert C Hagan | Internal Medicine | 3311 E Murdock St, Wichita, KS 67208-3054 | 2006-06-30 |
| 1366479776 | Richard M Skibba | Internal Medicine | 3311 E Murdock St, Wichita, KS 67208-3054 | 2006-06-28 |
| 1295770832 | William R Kilgore | Internal Medicine | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2006-06-18 |
| 1477547727 | Kansas Gastroenterology LLC | Internal Medicine | 848 N Saint Francis St, Suite 2945, Wichita, KS 67214-3800 | 2005-09-01 |
| 1124028931 | James A Whitaker | Internal Medicine | 848 N Saint Francis St, Suite 2945, Wichita, KS 67214-3800 | 2005-07-22 |
| 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.