CHARLES D PENCE


Address: 1947 Founders St, Wichita, KS 67206-3548
Phone: 3166899175

CHARLES D PENCE (NPI# 1114954740) 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) 1114954740
Entity Type Individual
Full Name CHARLES D PENCE
Credential MD
Practice Address 1947 Founders St
Wichita
KS 67206-3548
Mailing Address Po Box 8035
Wichita
KS 67208-0035
Practice Telephone 3166899175
Practice Fax Number 3166134704
Mailing Telephone 3166899135
Mailing Fax Number 3166899102
Enumeration Date 2006-06-27
Last Update Date 2007-07-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XS0117X Orthopaedic Surgery
Specialization: Orthopaedic Surgery of the Spine
14229 KS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KS MULTIPLAN 12149391 01
KS HPK 200142 01
KS BCBS 001521 01
KS PHS 722 01
KS COVENTRY 16915 01

Other Providers CHARLES PENCE

NPI Name Taxonomy Address Enumeration
1336628544 Charles A Pence Physical Therapy Assistant 1675 Ne Loop 286, Paris, TX 75460-2219 2018-08-08

Office Location

Street Address 1947 FOUNDERS ST
City WICHITA
State KS
Zip Code 67206-3548

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710964598 Jane W Yourdon Physical Therapist 1947 Founders St, Wichita, KS 67206-3548 2005-12-22
1811168271 Novacare Outpatient Rehabilitation Inc Durable Medical Equipment & Medical Supplies 1947 Founders St, Wichita, KS 67206-3548 2008-03-13
1720019151 John Shellito Jr. Surgery 1947 Founders St, Wichita, KS 67206-3548 2006-07-05
1659300150 Richard A Desplinter Plastic Surgery 1947 Founders St, Wichita, KS 67206-3548 2006-06-30
1467481838 George L Lucas Orthopaedic Surgery 1947 Founders St, Wichita, KS 67206-3548 2006-06-30
1609803071 Beena M Reddy Anesthesiology 1947 Founders St, Wichita, KS 67206-3548 2006-06-28
1932135423 E. Holmes Brinton Surgery 1947 Founders St, Wichita, KS 67206-3548 2006-06-25
1780610386 Bruce R Buhr Orthopaedic Surgery 1947 Founders St, Wichita, KS 67206-3548 2006-06-24
1790720167 Eldon K Sunderland Otolaryngology 1947 Founders St, Wichita, KS 67206-3548 2006-06-18
1215972724 Randall S Regehr Otolaryngology 1947 Founders St, Wichita, KS 67206-3548 2006-06-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760020846 Founders Surgery Center, LLC Clinic/Center 1961 N Founders Circle, Wichita, KS 67206 2019-12-19
1174006613 Courtney Dawn Simon Physical Therapist 9360 E Central Ave Ste 100, Wichita, KS 67206 2018-09-11
1902308919 Center At Waterfront LLC Skilled Nursing Facility 1541 North Lindberg Circle, Wichita, KS 67206 2018-03-06
1750804597 Katelyn Aguiar Psychologist 250 N Rock Rd Ste 210, Wichita, KS 67206 2017-07-24
1457888778 Mona Kay Cherryholmes Social Worker 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 2017-05-17
1164899415 Elizabeth Herl Marriage & Family Therapist 250 N Rock Rd Ste 150, Wichita, KS 67206 2015-08-21
1851715510 Ndjj Corp Custodial Care Facility 6403 E Marjore, Wichita, KS 67206 2014-02-14
1801238217 Courtney Ann Lang Physical Therapist 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 2013-07-26
1194063032 Peak Performance Health Pa Chiropractor 10111 E 21st St, #106, Wichita, KS 67206 2013-01-28
1750629002 Rachel Marie Conrad Speech-Language Pathologist 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 2013-01-22
Find all providers in zip 67206

Taxonomy Information

Taxonomy Code 207XS0117X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Orthopaedic Surgery of the Spine

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285616649 Alan Moskowitz Orthopaedic Surgery 7550 W Village Cir, Ste. 1, Wichita, KS 67205-9363 2005-11-18
1811979271 Mark Camden Whitaker Orthopaedic Surgery 10100 E Shannon Woods St, Suite 100, Wichita, KS 67226-4104 2005-11-18
1639335490 Steven Thomas Ericksen Orthopaedic Surgery 7550 West Village Circle, Ste. 1, Wichita, KS 67205 2008-07-31
1043290679 Kris Lewonowski Orthopaedic Surgery 2600 N Woodlawn Blvd, Wichita, KS 67220-2729 2006-01-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932495769 Joshua Thomas Bunch Orthopaedic Surgery 3901 Rainbow Blvd # Ms 3017, Kansas City, KS 66160-1902 2011-06-20
1982912622 Max Franco De Carvalho Orthopaedic Surgery 2500 Canterbury Dr, Hays, KS 67601-2247 2010-09-15
1841432937 Theodore Damian Koreckij Orthopaedic Surgery 3651 College Blvd, Leawood, KS 66211-1910 2009-04-03
1205884889 John M Ciccarelli Orthopaedic Surgery 5525 W 119th St, Suite 210, Overland Park, KS 66209-3718 2006-05-05
1942268289 Premier Spine Care, P.a. Orthopaedic Surgery 5525 W 119th St, Suite 210, Overland Park, KS 66209-3718 2006-05-03
1114985355 Adrian P Jackson Orthopaedic Surgery 5525 W 119th St, Suite 210, Overland Park, KS 66209-3718 2006-05-03
1487626982 Christopher C Kain Orthopaedic Surgery 2101 N Waldron St, Hutchinson, KS 67502-1131 2006-02-07

Competitor

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City WICHITA
Zip Code 67206

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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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