BRIAN JOHN GOENTZEL (NPI# 1194959692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194959692 |
| Entity Type | Individual |
| Full Name | BRIAN JOHN GOENTZEL |
| Practice Address |
1947 N Founders Cir Wichita KS 67206-3548 |
| Mailing Address |
Po Box 8035 Wichita KS 67208-0035 |
| Practice Telephone | 3166134670 |
| Practice Fax Number | 3166134726 |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
04-39829 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 201155750A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2401 S 31st St, Temple, TX 765080001 | 2547242111 |
| Street Address |
1947 N FOUNDERS CIR |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-3548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174528053 | Douglas E Frederick | Nurse Practitioner | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2005-06-16 |
| 1114534013 | Natasha Robin Moran | Physical Therapy Assistant | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2020-09-25 |
| 1780290379 | Aureline Stephanie Ta | Nurse Anesthetist, Certified Registered | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2020-09-18 |
| 1295386266 | Craig Meitler | Registered Nurse | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2019-09-21 |
| 1578116091 | Kaitlin Sullivan | Audiologist | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2019-07-23 |
| 1972065217 | Kelley Renee Ewert | Occupational Therapist | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2019-04-04 |
| 1427533876 | Angela Madrid | Registered Nurse | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2018-10-02 |
| 1649778960 | Caitlyn Coffey | Nurse Practitioner | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2018-02-01 |
| 1801314745 | Lauren Cote | Nurse Practitioner | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2017-08-30 |
| 1497201958 | Leanne Bath | Occupational Therapy Assistant | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2016-08-25 |
| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033628243 | Kansas Spine & Specialty Hospital, L.L.C. | Anesthesiology | 3223 N Webb Rd Ste 3, Wichita, KS 67226-8176 | 2017-09-20 |
| 1609310572 | Kansas Regenerative and Pain Specialists LLC | Anesthesiology | 3223 N Webb Road, Suite 5, Wichita, KS 67226-8176 | 2016-12-13 |
| 1487625406 | Ronald Royce Manasco | Anesthesiology | 550 North Hillside, Wichita, KS 67214 | 2006-01-28 |
| 1003299181 | Comprehensive Pain Treatment LLC | Anesthesiology | 10111 E 21st St N, Suite 106, Wichita, KS 67206-3508 | 2015-07-07 |
| 1275572810 | Amr Rashad Hegazi | Anesthesiology | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588142723 | Kansas Anesthesiology Professionals Pa | Anesthesiology | 10995 Quivira Rd Ste 150, Overland Park, KS 66210-1207 | 2018-07-31 |
| 1992825376 | Stephanie Michelle Schmidt | Anesthesiology | 330 Arkansas St, Suite # 210, Lawrence Anaesthesia Pa, Lawrence, KS 66044 | 2007-03-30 |
| 1235234667 | Physician Anesthesia & Pain Treatment Pa | Anesthesiology | 100 North Pine, Pittsburg, KS 66762 | 2006-09-13 |
| 1588767065 | Robert T Gibbons | Anesthesiology | 8800 Ballentine, Overland Park, KS 66214 | 2006-09-07 |
| 1992807564 | Norman Waitley | Anesthesiology | 10985 Cody St, Suite 110, Overland Park, KS 66210-1219 | 2006-09-02 |
| 1942236534 | Hutchinson Anesthesia Professionals LLC | Anesthesiology | 1701 E 23rd Avenue, Hutchinson, KS 67502 | 2006-06-24 |
| 1225002504 | Henry P Beugelsdijk Md Pa | Anesthesiology | 600 Medical Center Drive, Newton, KS 67114 | 2006-02-14 |
| 1972574937 | Heartland Pain Management, LLC | Anesthesiology | 1133 College Ave Ste F100, Manhattan, KS 66502-2756 | 2006-01-30 |
| 1982688503 | Daniel L Bruning | Anesthesiology | 10501 Metcalf Ave, Overland Park, KS 66212-1815 | 2005-12-06 |
| 1881680726 | Travis Foxx | Anesthesiology | 6500 W 143rd St Ste A, Overland Park, KS 66223-2186 | 2005-09-26 |
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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.