JERROD A. CONKLING


Address: 3223 N Webb Rd, Suite 1, Wichita, KS 67226-8175
Phone: 3166092600

JERROD A. CONKLING (NPI# 1114950706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114950706
Entity Type Individual
Full Name JERROD A. CONKLING
Credential P.A.
Practice Address 3223 N Webb Rd
Suite 1
Wichita
KS 67226-8175
Practice Telephone 3166092600
Practice Fax Number 3166092800
Mailing Telephone 3166092600
Mailing Fax Number 3166092800
Enumeration Date 2006-07-08
Last Update Date 2015-01-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
15-01039 KS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KS 2003475208B 05

Office Location

Street Address 3223 N WEBB RD
SUITE 1
City WICHITA
State KS
Zip Code 67226-8175

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154301687 Leona K Adrian Physician Assistant 3223 N Webb Rd, Suite 1, Wichita, KS 67226 2006-01-19
1215445457 Shawna Johnson Nurse Practitioner 3223 N Webb Rd, Ste 1, Wichita, KS 67226-8176 2018-01-22
1508101775 Ehtisham Neurovascular Institute & Aesthestics P.a. Psychiatry & Neurology 3223 N Webb Rd, Suite 5, Wichita, KS 67226-8175 2012-11-29
1932414554 Kristen Renee Hauserman Nurse Practitioner 3223 N Webb Rd, Ste 1, Wichita, KS 67226-8176 2010-08-09
1134449937 Lillian R Harstine Md Pa Internal Medicine 3223 N Webb Rd, S 3, Wichita, KS 67226-8175 2010-06-03
1740431600 Hanger Prosthetics & Orthotics East, Inc Durable Medical Equipment & Medical Supplies 3223 N Webb Rd, Suite 4, Wichita, KS 67226-8175 2008-10-08
1528244134 Jacquelyn T Logan Nurse Practitioner 3223 N Webb Rd, Suite 1, Wichita, KS 67226-8175 2008-01-14
1538350830 James Dudley Weimar Neurological Surgery 3223 N Webb Rd, Suite 1, Wichita, KS 67226-8175 2007-08-05
1164624516 Christian S. Lothes Neurological Surgery 3223 N Webb Rd, Suite 1, Wichita, KS 67226-8175 2007-06-05
1598864001 Pastor R Causin Jr. M.d., L.L.C. Neuromusculoskeletal Medicine, Sports Medicine 3223 N Webb Rd, Suite 5, Wichita, KS 67226-8175 2006-09-21
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962435552 Gregory Bryan De Laney Physician Assistant 1431 Bluffview St Ste 210, Wichita, KS 67218-3039 2006-07-08
1770057812 Hannah Roth Physician Assistant 3311 E Murdock St, Wichita, KS 67208-3054 2019-01-11
1235621947 Tiana Alani Goering Physician Assistant 550 N Hillside St, Wichita, KS 67214-4910 2018-05-30
1164892675 Elizabeth Hayes Physician Assistant 10100 E Shannon Woods St, Suite 100, Wichita, KS 67226-4104 2015-09-28
1205905726 Brian S. Zerger Physician Assistant 1923 N Webb Rd, Wichita, KS 67206-3405 2006-11-07
1063428811 Peter S Vang Physician Assistant 9300 E 29th St N, Suite 205, Wichita, KS 67226-2182 2006-08-01
1558389726 Randall Eugene Ford Physician Assistant 5500 E Kellogg Dr, Wichita, KS 67218-1607 2006-07-17
1962447920 Larry Dean Armstrong Physician Assistant 5500 E Kellogg Dr, Wichita, KS 67218-1607 2006-06-16
1902844483 Gregory M. Knoblauch Physician Assistant 10100 E Shannon Woods St, Suite 100, Wichita, KS 67226-4104 2006-06-04
1699712950 Michael R. Easter Physician Assistant 10100 E Shannon Woods St, Suite 100, Wichita, KS 67226-4104 2006-06-02
Find all providers in WICHITA

Competitor

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City WICHITA
Zip Code 67226

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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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