DR. GREGORY G FAIMON (NPI# 1205942463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205942463 |
| Entity Type | Individual |
| Full Name | DR. GREGORY G FAIMON |
| Credential | MD |
| Practice Address |
2610 N Woodlawn St Wichita KS 67220-2729 |
| Mailing Address |
3800 E 93rd St N Valley Center KS 67147-8716 |
| Practice Telephone | 3168582610 |
| Practice Fax Number | 3168582793 |
| Mailing Telephone | 3166502878 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2016-12-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 0427023 | KS | Allopathic & Osteopathic Physicians |
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
04-27023 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BC/BS OF KANSAS | 105234 | 01 |
| KS | RR MC (PALMETTO) | P00615213 | 01 |
| KS | 100294640H | 05 | |
| KS | 100294640L | 05 | |
| KS | 100294640M | 05 | |
| KS | 200362720C | 05 | |
| KS | 100294640W | 05 |
| Street Address |
2610 N WOODLAWN ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67220-2729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578563169 | Patricia E Patterson | Nurse Practitioner | 2610 N Woodlawn St, Wichita, KS 67220-2729 | 2005-07-26 |
| 1972559078 | Srinivas Yendru | Anesthesiology | 2610 N Woodlawn St, Dept. of Anesthesiology, Wichita, KS 67220-2729 | 2006-05-26 |
| 1265480735 | Galichia Heart Hospital, LLC | Nurse Anesthetist, Certified Registered | 2610 N Woodlawn St, Wichita, KS 67220-2729 | 2006-05-05 |
| 1508814013 | Brian Fleeman | Nurse Anesthetist, Certified Registered | 2610 N Woodlawn St, Wichita, KS 67220-2729 | 2006-05-05 |
| 1598734535 | Marvin Pamatmat | Nurse Anesthetist, Certified Registered | 2610 N Woodlawn St, Wichita, KS 67220-2729 | 2006-03-14 |
| 1306815378 | Rosella Loflin | Nurse Anesthetist, Certified Registered | 2610 N Woodlawn St, Wichita, KS 67220-2729 | 2006-03-14 |
| 1376511022 | Ernest Mcclellan | Anesthesiology | 2610 N Woodlawn St, Wichita, KS 67220-2729 | 2006-03-09 |
| 1508846825 | Michelle L Ronsick | Physician Assistant | 2610 N Woodlawn St, Wichita, KS 67220-2729 | 2006-01-20 |
| 1649258898 | Brian L Debrot | Emergency Medicine | 2610 N Woodlawn St, Wichita, KS 67220-2729 | 2006-01-06 |
| 1285618991 | Galichia Heart Hospital LLC | General Acute Care Hospital | 2610 N Woodlawn St, Wichita, KS 67220-2729 | 2005-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909329 | Michael Jay Somma | Dentist | 2838 N. Oliver Ave, Wichita, KS 67220 | 2020-07-21 |
| 1033778915 | Sonja Nicole Holle | Speech-Language Pathologist | Wsu Speech Language Healing Clinic, 5015 E 29th St. N, Entrance T, Wichita, KS 67220 | 2019-06-13 |
| 1912562869 | Sindi Vishaj | Student in an Organized Health Care Education/Training Program | North Oliver Avenue, Wichita, KS 67220 | 2019-05-07 |
| 1972068252 | Cynthia Mccormick Richburg | Audiologist | 5015 E 29th St N Entrance T, Wsu Speech Language Hearing Clinic, Wichita, KS 67220 | 2019-01-31 |
| 1235666900 | Amanda A Ewertz | Nurse Practitioner | 3715 N. Oliver St., Wichita, KS 67220 | 2017-05-12 |
| 1255888319 | Morgan J Martin | Physician Assistant | 2610 N Woodlawn, Wichita, KS 67220 | 2016-09-07 |
| 1578811089 | Jason James | Student in an Organized Health Care Education/Training Program | 2838 N. Oliver Street, Wichita, KS 67220 | 2012-08-15 |
| 1437414430 | Daiquirie Crumrine | Speech-Language Pathologist | 5015 E. 29th Street North, 'entrance T', Wichita, KS 67220 | 2012-07-06 |
| 1790843449 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 3975 N Woodlawn Ct, Bel Aire, KS 67220 | 2006-12-05 |
| 1568402352 | Dillon Companies LLC | Pharmacy | 3707 N Woodlawn Blvd, Wichita, KS 67220 | 2006-06-08 |
| Find all providers in zip 67220 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851867709 | Johnny Huy Nguyen | Emergency Medicine | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2018-10-18 |
| 1730494048 | Kansas Physicians Group, LLC | Emergency Medicine | 2610 N Woodlawn Blvd, Wichita, KS 67220-2729 | 2010-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306301429 | Rikkie Renee Thouvenell | Emergency Medicine | 906 S Lincoln Ave, Chanute, KS 66720-3041 | 2019-02-02 |
| 1124594957 | Susan B. Allen Memorial Hospital | Emergency Medicine | 700 W Central Ave Ste 103, El Dorado, KS 67042-2187 | 2018-10-19 |
| 1609185958 | Barbara K Lomeli | Emergency Medicine | 14500 S Quivira Rd, Olathe, KS 66062-9479 | 2010-10-05 |
| 1124086384 | Daniel W Doherty | Emergency Medicine | 315 W 15th Street, Liberal, KS 67905-1340 | 2006-05-03 |
| 1104815265 | Phillips County | Emergency Medicine | 409 E St, Box 309, Phillipsburg, KS 67661-1656 | 2005-10-20 |
| 1912530890 | Edward King | Emergency Medicine | 1428 S Main St Ste 4, Ottawa, KS 66067-3547 | 2020-02-19 |
| 1912362682 | Newman Medical Partners LLC | Emergency Medicine | 2720 W 15th Ave, Emporia, KS 66801 | 2015-12-23 |
| 1700106168 | Joshua David Korosac | Emergency Medicine | 325 Maine St, Lawrence, KS 66044-1360 | 2010-06-08 |
| 1003146671 | Kstar Emergency Physicians, Pllc | Emergency Medicine | 1700 Sw 7th St, Topeka, KS 66606-2489 | 2010-01-05 |
| 1316180839 | Jennifer J Von Fintel | Emergency Medicine | 8929 Parallel Pkwy, Kansas City, KS 66112-1689 | 2009-04-14 |
| 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.