ASCENSION VIA CHRISTI IMAGING WICHITA, LLC (NPI# 1265891048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265891048 |
| Entity Type | Organization |
| Organization Name | ASCENSION VIA CHRISTI IMAGING WICHITA, LLC |
| Other Organization Name | ASCENSION VIA CHRISTI IMAGING PREFERRED PET |
| Practice Address |
825 N Emporia St Wichita KS 67214-3709 |
| Mailing Address |
Po Box 47121 Wichita KS 67201-7121 |
| Practice Telephone | 3162691738 |
| Practice Fax Number | 3162691759 |
| Mailing Telephone | 3162691738 |
| Mailing Fax Number | 3162691759 |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2019-11-01 |
| Authorized Official Name | MR. CLAUDIO J FERRARO (ADMINISTRATOR) |
| Authorized Official Telephone | 3162688026 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | RAILROAD MEDICARE | 470001645 | 01 |
| Other Name | Type Code |
|---|---|
| Ascension Via Christi Imaging Preferred PET | Doing Business As Name - Organization |
| Preferred PET Imaging of Kansas | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720099039 | Ascension Via Christi Imaging Wichita, LLC | Clinic/Center | 2734 N Woodlawn St, Wichita, KS 67220-2730 | 2006-08-11 |
| 1306857628 | Ascension Via Christi Imaging Wichita, LLC | Clinic/Center | 14700 W Saint Teresa St Ste 150, Wichita, KS 67235-9611 | 2006-08-11 |
| 1598145005 | Ascension Via Christi Imaging Wichita, LLC | Radiology | 3600 E Harry St, Wichita, KS 67218-3713 | 2015-06-01 |
| 1790165207 | Ascension Via Christi Imaging Wichita, LLC | Radiology | 928 N Saint Francis St, Wichita, KS 67214-3822 | 2015-06-01 |
| Street Address |
825 N EMPORIA ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841267481 | Preferred Pet Imaging of Kansas LLC | Radiology | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2006-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689710519 | Kansas University Physicians Inc | Radiology | 2162 Ku Medical Center, Mail Stop 4032 3901rainbow Blvd, Kansas City, KS 66160 | 2007-01-29 |
| 1982794756 | Eileen Mercado-yap | Radiology | 1102 E Centennial Dr, Pittsburg, KS 66762-6643 | 2006-10-13 |
| 1346217429 | Robert Charles Gibbs Md LLC | Radiology | 1902 S Us Highway 59, Parsons, KS 67357-4948 | 2006-03-07 |
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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.