WICHITA DERMATOLOGY,LLC (NPI# 1184256844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184256844 |
| Entity Type | Organization |
| Organization Name | WICHITA DERMATOLOGY,LLC |
| Other Organization Name | WICHITA DERMATOLOGY DBA MOELLER DERMATOLOGY |
| Practice Address |
1911 North Webb Rd Wichita KS 67206 |
| Practice Telephone | 3166827546 |
| Practice Fax Number | 3166827554 |
| Mailing Telephone | 3166827546 |
| Mailing Fax Number | 3166827554 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-05-12 |
| Authorized Official Name | DELIA J KISER (OPERATIONS MANAGER) |
| Authorized Official Telephone | 3166827546 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Wichita Dermatology DBA Moeller Dermatology | Doing Business As Name - Organization |
| Street Address |
1911 NORTH WEBB RD |
| City | WICHITA |
| State | KS |
| Zip Code | 67206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346478054 | Landon M Johnson | Dermatology | 1911 North Webb Rd, Wichita, KS 67206 | 2009-07-01 |
| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346478054 | Landon M Johnson | Dermatology | 1911 North Webb Rd, Wichita, KS 67206 | 2009-07-01 |
| 1891798005 | Christopher A Moeller | Dermatology | 1911 N Webb Rd, Wichita, KS 67206-3405 | 2005-05-23 |
| 1619297769 | Brandon Litzner | Dermatology | 1861 N Rock Rd Ste 310, Wichita, KS 67206-1264 | 2010-06-10 |
| 1922038801 | Krista E. Shackelford | Dermatology | 835 N Hillside St, Wichita, KS 67214-4913 | 2006-07-04 |
| 1710915210 | Stanley L Capper | Dermatology | 9211 E 21st St N, Wichita, KS 67206-2968 | 2006-06-30 |
| 1710914197 | John C Robichaux | Dermatology | 9211 E 21st St N, Wichita, KS 67206-2968 | 2006-06-28 |
| 1285685008 | Mid-kansas Dermatology Clinic, Pa | Dermatology | 1861 N Rock Rd, Suite 310, Wichita, KS 67206-4200 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615648 | Lori E Falcone | Dermatology | 1121 N College Park St Ste 400, Derby, KS 67037-3667 | 2020-10-06 |
| 1710444500 | Epiphany Dermatology of Kansas, LLC | Dermatology | 10600 Quivira Rd Ste 430, Overland Park, KS 66215-2312 | 2019-02-27 |
| 1104354794 | Blue Valley Dermatology | Dermatology | 7840 W 165th Street, Suite 260, Overland Park, KS 66223 | 2017-05-26 |
| 1346618220 | Tara Gillespie | Dermatology | 2707 Vine St Ste 10, Hays, KS 67601-1908 | 2015-09-09 |
| 1295072163 | Bernard James Melia Jr. | Dermatology | 5418 W 100th St, Overland Park, KS 66207-3116 | 2013-01-11 |
| 1134481831 | Johanna Suzanne Peterson | Dermatology | 3901 Rainbow Blvd. 6040 Delp, Ms1020, Division of General and Geriatric Medicine, University, Kansas City, KS 66160-0001 | 2012-06-09 |
| 1780950352 | Jacqueline Margaret Youtsos | Dermatology | 2425 Bradshaw Way, Pittsburg, KS 66762-6600 | 2012-03-28 |
| 1760709679 | Lauren Ann Kyle Tkachuk | Dermatology | 7840 W 165th St Ste 260, Overland Park, KS 66223-3020 | 2010-05-02 |
| 1639494198 | Anand Rajpara | Dermatology | 3901 Rainbow Blvd # Ms 2025, Kansas City, KS 66160 | 2010-03-28 |
| 1578792776 | Tracy Michelle Katz | Dermatology | Ms 2025 4009 Wescoe, 3901 Rainbow Blvd., Kansas City, KS 66160-0001 | 2009-07-08 |
| Find all providers with the same taxonomy | ||||
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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.