FALLING SHADOW EMERGENCY PHYSICIANS, LLC (NPI# 1205207412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205207412 |
| Entity Type | Organization |
| Organization Name | FALLING SHADOW EMERGENCY PHYSICIANS, LLC |
| Practice Address |
8714 W 13th St N Wichita KS 67212-6221 |
| Mailing Address |
Po Box 98692 Las Vegas NV 89193-8692 |
| Practice Telephone | 4694012386 |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |
| Authorized Official Name | GREGORY J. BYRNE (OFFICER) |
| Authorized Official Telephone | 4694012386 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215395777 | Falling Shadow Emergency Physicians, LLC | Physician Assistant | 10500 Quivira Rd, Overland Park, KS 66215-2306 | 2016-01-29 |
| 1679944888 | Falling Shadow Emergency Physicians, LLC | Physician Assistant | 2610 N Woodlawn Blvd, Wichita, KS 67220-2729 | 2015-10-14 |
| 1396116505 | Falling Shadow Emergency Physicians, LLC | Physician Assistant | 550 N Hillside St, Wichita, KS 67214-4910 | 2015-10-14 |
| Street Address |
8714 W 13TH ST N |
| City | WICHITA |
| State | KS |
| Zip Code | 67212-6221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063751352 | Runway Emergency Physicians LLC | Emergency Medicine | 8714 W 13th St N, Wichita, KS 67212-6221 | 2013-02-06 |
| 1386267334 | Melissa Wanda Ma-heiman | Registered Nurse | 8714 W 13th St N, Wichita, KS 67212-6221 | 2020-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396974 | Kim Deann Kercher | Physical Therapist | Legacy At Grassland Estates, 10665 W 13th St N Apt 329, Wichita, KS 67212 | 2020-11-04 |
| 1700370954 | Andrea Lou Wheeler | Registered Nurse | 658 N Fairway Ave, Wichita, KS 67212 | 2018-06-20 |
| 1568981231 | Wichita Family Dental LLC | Dentist | 1445 N. Ridge Rd, Wichtia, KS 67212 | 2017-09-14 |
| 1396260121 | Keegan Hemberger | Pharmacist | 555 N. Maize Road, Wichita, KS 67212 | 2017-08-14 |
| 1154877603 | Alicia Rose Landrum | Counselor | 515 N Ridge Rd Ste 105, Wichita, KS 67212 | 2016-08-25 |
| 1306218920 | Brandee Young | Occupational Therapist | 9710 W. Jamesburg, Wichita, KS 67212 | 2015-10-22 |
| 1588072201 | Michelle Kuhn | Pharmacist | 10515 W Central, Wichita, KS 67212 | 2014-07-25 |
| 1972914083 | Linda Mueller Mueller | Marriage & Family Therapist | 4425 West Zoo Blvd, Wichita, KS 67212 | 2014-05-12 |
| 1619392305 | Jessica Smith | Counselor | 1319 W May, Wichita, KS 67212 | 2014-03-04 |
| 1245652064 | Keepsake Kottage, LLC | Custodial Care Facility | 8801 W Bekemeyer, Wichita, KS 67212 | 2014-01-14 |
| Find all providers in zip 67212 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417400235 | Medexpress Urgent Care Kansas, P.a. | Emergency Medicine | 1261 N Maize Road, Wichita, KS 67212-4302 | 2016-07-28 |
| 1063751352 | Runway Emergency Physicians LLC | Emergency Medicine | 8714 W 13th St N, Wichita, KS 67212-6221 | 2013-02-06 |
| 1417018201 | Kevin W Brinker | Emergency Medicine | 111 S Ridgecrest St, Wichita, KS 67218 | 2006-12-13 |
| 1639117724 | Gail A Bayliss | Emergency Medicine | 1115 N Cypress St, Wichita, KS 67206-4058 | 2006-06-02 |
| 1437197605 | Robert Stangl | Emergency Medicine | 929 N Saint Francis St # Er, Wichita, KS 67214-3821 | 2006-06-02 |
| 1083693634 | Aly A Gadalla | Emergency Medicine | 9449 E 21st St N, Suite 200, Wichita, KS 67206-2969 | 2006-01-12 |
| 1255313300 | Todd Aspegren | Emergency Medicine | 1405 Krug Cir, Wichita, KS 67230-1706 | 2005-11-15 |
| 1265431860 | John R Whitehead | Emergency Medicine | 2610 N Woodlawn Blvd, Wichita, KS 67220-2729 | 2005-07-18 |
| 1215405931 | Clinton Shriner | Emergency Medicine | 550 N Hillside St, Wichita, KS 67214-4910 | 2018-11-12 |
| 1861901076 | Lindsey Wright | Emergency Medicine | 550 N Hillside St, Wichita, KS 67214-4910 | 2017-09-20 |
| 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.