CORY ANDREW CICCONE (NPI# 1154617793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154617793 |
| Entity Type | Individual |
| Full Name | CORY ANDREW CICCONE |
| Credential | D.O. |
| Practice Address |
1131 S Clifton Ave Ste B Wichita KS 67218-2963 |
| Mailing Address |
12101 Woodcrest Executive Dr Ste 210 Saint Louis MO 63141-5047 |
| Practice Telephone | 3164621040 |
| Practice Fax Number | 3164621042 |
| Mailing Telephone | 3143170600 |
| Mailing Fax Number | 3143170606 |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2017-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 05-40186 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025533600 | 05 |
| Street Address |
1131 S CLIFTON AVE STE B |
| City | WICHITA |
| State | KS |
| Zip Code | 67218-2963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912148776 | Tyler M Buser | Family Medicine | 1131 S Clifton Ave Ste B, Wichita, KS 67218-2963 | 2009-03-09 |
| 1730557141 | Robin Burbach | Nurse Practitioner | 1131 S Clifton Ave Ste B, Wichita, KS 67218-2963 | 2015-09-02 |
| 1407281553 | Robyn Huckaby | Nurse Practitioner | 1131 S Clifton Ave Ste B, Wichita, KS 67218-2963 | 2013-09-09 |
| 1720367626 | Tonya Jo Kasselman | Nurse Practitioner | 1131 S Clifton Ave Ste B, Wichita, KS 67218-2963 | 2011-08-09 |
| 1710274907 | Terri Jean Core | Nurse Practitioner | 1131 S Clifton Ave Ste B, Wichita, KS 67218-2963 | 2011-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544392 | Diana Ho | Optometrist | 980 Oliver Street, Wichita, KS 67218 | 2020-07-03 |
| 1134773690 | Lily Lopez | Nurse's Aide | 5107 E Kellogg Drive, Wichita, KS 67218 | 2019-08-01 |
| 1750862512 | Kelsi Wenger | Student in an Organized Health Care Education/Training Program | 5500 E Kellog Dr, Wichita, KS 67218 | 2018-08-28 |
| 1770038937 | Hair Replacement Clinic | Specialist | 1815 S Windsor, Wichita, KS 67218 | 2016-08-17 |
| 1457757346 | South Wind Women's Centter, LLC | Clinic/Center | 5701 E Kellogg Drive, Wichita, KS 67218 | 2014-11-05 |
| 1124460787 | Teri Kitchen | Social Worker | 3414 Kinkaid, Wichita, KS 67218 | 2013-07-24 |
| 1053660142 | Glenda Rodgers-lawless, Ph.d., Lcpc, Pa | Community/Behavioral Health | 4601 E Douglas, Wichita, KS 67218 | 2012-09-05 |
| 1649541848 | Stephen Rhinehart | Registered Nurse | 5500 E Kellogg Dr., Wichita, KS 67218 | 2012-01-19 |
| 1457666927 | Recovery Services Council Inc. | Point of Service | 1611 South Rutan, Wichita, KS 67218 | 2010-08-09 |
| 1043535867 | Melissa A Weinley | Respiratory Therapist, Registered | 5500 East Kellog Dr, Wichita, KS 67218 | 2010-04-05 |
| Find all providers in zip 67218 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1679187074 | Heartland Pulmonary and Sleep Medicine, LLC | Internal Medicine | 2600 N Woodlawn Blvd Ste A, Wichita, KS 67220-2729 | 2020-09-02 |
| 1184109803 | Restoration Health Care LLC | Internal Medicine | 1541 N Lindberg Cir, Wichita, KS 67206-6400 | 2018-09-27 |
| 1568910768 | Ict Internal Medicine & Pain Management, LLC | Internal Medicine | 8710 W 13th St N, Suite 102, Wichita, KS 67212-6254 | 2016-09-15 |
| 1831509389 | Scott Le | Internal Medicine | 2201 N Stoneybrook Cir, Wichita, KS 67226-3636 | 2014-05-06 |
| 1760756233 | Pia, LLC | Internal Medicine | 8300 E Steeplechase St, Wichita, KS 67206-4423 | 2012-03-01 |
| 1730488289 | Curtis Harley Rhoden | Internal Medicine | 1546 Lawrence Ct, Wichita, KS 67206-1133 | 2011-03-23 |
| 1609170844 | Hannah L Lai | Internal Medicine | 9449 E. 21st. St. N., Suite 200, Wichita, KS 67206-2969 | 2011-01-03 |
| 1609100668 | Chief Stats Inc | Internal Medicine | 6249 E 21st St N, Ste 120-303, Wichita, KS 67208-1861 | 2009-09-23 |
| 1861682247 | Baoluan T Nguyen | Internal Medicine | 7329 W. Village Cir, Wichita, KS 67205 | 2007-07-31 |
| 1922210624 | Tyler Hill Ternes | Internal Medicine | 551 N Hillside St Ste 320, Wichita, KS 67214-4926 | 2007-05-04 |
| 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.