WICHITA ENDOCRINOLOGY, LLC (NPI# 1154708782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154708782 |
| Entity Type | Organization |
| Organization Name | WICHITA ENDOCRINOLOGY, LLC |
| Practice Address |
1515 S Clifton Ave Suite 103 Wichita KS 67218-2900 |
| Practice Telephone | 3167776404 |
| Practice Fax Number | 3167776600 |
| Mailing Telephone | 3167776404 |
| Mailing Fax Number | 3167776600 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |
| Authorized Official Name | DR. DEE ANTOINETTE SPADE (OWNER) |
| Authorized Official Telephone | 3167776404 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 0527612 | KS | Ambulatory Health Care Facilities |
| Street Address |
1515 S CLIFTON AVE SUITE 103 |
| City | WICHITA |
| State | KS |
| Zip Code | 67218-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194721951 | Dan A Francisco Md Pa | Internal Medicine | 1515 S Clifton Ave, Ste 150, Wichita, KS 67218-2957 | 2005-06-24 |
| 1356983282 | Julia Kerubo Ouko | Nurse Practitioner | 1515 S Clifton Ave, Wichita, KS 67218-2900 | 2019-10-11 |
| 1013331032 | Jennifer Howard | Pharmacist | 1515 S Clifton Ave, Suite 100, Wichita, KS 67218-2900 | 2014-02-11 |
| 1639411325 | Jonathan David Scrafford | Obstetrics & Gynecology | 1515 S Clifton Ave, Wichita, KS 67218-2900 | 2013-03-20 |
| 1417241902 | Preferred Medical Associates | Obstetrics & Gynecology | 1515 S Clifton Ave, Ste. 130, Wichita, KS 67218-2900 | 2011-06-02 |
| 1518258045 | Jane Cavallaro | Registered Nurse | 1515 S Clifton Ave, Wichita, KS 67218-2900 | 2011-05-02 |
| 1588955272 | Joseph Anthony Camacho | Anesthesiology | 1515 S Clifton Ave, Ste 200, Wichita, KS 67218-2900 | 2011-04-28 |
| 1407171879 | Andrea Lynne Hageman | Specialist/Technologist, Other | 1515 S Clifton Ave, Suite 250, Wichita, KS 67218-2900 | 2010-03-29 |
| 1992941678 | The Wound Nurse, LLC | Durable Medical Equipment & Medical Supplies | 1515 S Clifton Ave, Suite 103, Wichita, KS 67218-2951 | 2008-12-30 |
| 1598920167 | Valerie Dawn Koch | Nurse Practitioner | 1515 S Clifton Ave, Suite 450, Wichita, KS 67218-2900 | 2008-07-23 |
| Find all providers in the same location | ||||
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932635612 | Harmony Medical Clinic | Clinic/Center | 2290 N Tyler Rd Ste 300, Wichita, KS 67205-8760 | 2017-05-02 |
| 1285902676 | Insight Counseling Center, Inc. | Clinic/Center | 4618 E Central Ave Ste 30, Wichita, KS 67208-3956 | 2011-12-13 |
| 1043473192 | Tallgrass Family Medicine, LLC | Clinic/Center | 8100 E 22nd St N Ste 2200-2, Wichita, KS 67226-2322 | 2008-07-09 |
| 1477692051 | Via Christi Immediate Care, Mother Mary Anne Inc. | Clinic/Center | 1152 S. Clifton, Wichita, KS 67218-2913 | 2007-02-06 |
| 1528124435 | Wheeler Chiropractic & Acupuncture Clinic, LLC | Clinic/Center | 1125 S Rock Rd Ste 7, Wichita, KS 67207-3300 | 2006-12-28 |
| 1427512573 | Wichita Vascular and Vein Center, LLC | Clinic/Center | 3161 N Webb Rd, Suite 110, Wichita, KS 67226 | 2019-01-23 |
| 1326561747 | M and P Health, LLC | Clinic/Center | 8100 E 22nd St N Ste 2200-2, Wichita, KS 67226-2322 | 2017-07-18 |
| 1164836391 | Carolyn Lefevre | Clinic/Center | 707 N Emporia St, Wichita, KS 67214-3707 | 2014-06-16 |
| 1063853059 | Auburn Hills Chiropractic and Rehabilitation LLC | Clinic/Center | 13605 W Maple St, Suite 105, Wichita, KS 67235-8759 | 2013-07-08 |
| 1447598511 | Mayflower Clinic | Clinic/Center | 209 E William St, Suite 104, Wichita, KS 67202-4017 | 2013-01-24 |
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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.