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).
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 |
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336628544 | Charles A Pence | Physical Therapy Assistant | 1675 Ne Loop 286, Paris, TX 75460-2219 | 2018-08-08 |
Street Address |
1947 FOUNDERS ST |
City | WICHITA |
State | KS |
Zip Code | 67206-3548 |
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 |
Find all providers in the same location |
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 Code | 207XS0117X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Surgery of the Spine |
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. |
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 |
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 |
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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.