DR. GARY A FAST (NPI# 1275582637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275582637 |
| Entity Type | Individual |
| Full Name | DR. GARY A FAST |
| Credential | MD |
| Practice Address |
9333 E 21st St N Wichita KS 67206-2927 |
| Mailing Address |
1901 E 1st St Po Box 467 Newton KS 67114-5010 |
| Practice Telephone | 3166344700 |
| Practice Fax Number | 3166344770 |
| Mailing Telephone | 3162846400 |
| Mailing Fax Number | 3162846490 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2017-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
04-31500 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100259320A | 05 |
| Street Address |
9333 E 21ST ST N |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-2927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386648871 | Kristi S Dutton Speer | Nurse Practitioner | 9333 E 21st St N, Wichita, KS 67206-2927 | 2005-06-13 |
| 1497306542 | Aaron Clark | Social Worker | 9333 E 21st St N, Wichita, KS 67206-2927 | 2019-09-20 |
| 1477033546 | Heather Lauren Cornett | Psychologist | 9333 E 21st St N, Wichita, KS 67206-2927 | 2018-08-17 |
| 1053800243 | Dera Joy Harvey | Registered Nurse | 9333 E 21st St N, Wichita, KS 67206-2927 | 2018-05-03 |
| 1902251655 | Prairie View, Inc. | Psychiatric Hospital | 9333 E 21st St N, Wichita, KS 67206-2927 | 2016-05-02 |
| 1124493234 | Denise Joan Erdman | Registered Nurse | 9333 E 21st St N, Wichita, KS 67206-2927 | 2015-12-01 |
| 1568835726 | Jennifer Leasure | Registered Nurse | 9333 E 21st St N, Wichita, KS 67206-2927 | 2015-11-09 |
| 1235518291 | Cody L Beaton | Social Worker | 9333 E 21st St N, Wichita, KS 67206-2927 | 2015-05-23 |
| 1508263146 | Marla V Clouse | Social Worker | 9333 E 21st St N, Wichita, KS 67206-2927 | 2014-11-25 |
| 1861819278 | Jean L. Anderson | Social Worker | 9333 E 21st St N, Wichita, KS 67206-2927 | 2014-03-24 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629568407 | Danielle Marie Jones | Psychiatry & Neurology | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2018-05-16 |
| 1790190791 | Susanna Ciccolari Micaldi | Psychiatry & Neurology | 1001 N. Minneapolis St, Wichita, KS 67214-3127 | 2014-06-27 |
| 1235563388 | Brian Everett Romalis | Psychiatry & Neurology | 7507 E Huntington St, Wichita, KS 67206-3225 | 2013-08-26 |
| 1649603655 | Cristina Cosico Rustia | Psychiatry & Neurology | 7720 E Morris St, Wichita, KS 67207-2324 | 2013-08-13 |
| 1437418019 | J. W, Leisy M.d.p.a. | Psychiatry & Neurology | 3310 East Douglas #101, Wichita, KS 67208 | 2012-05-16 |
| 1174780118 | M.h. Shah, M.d. | Psychiatry & Neurology | 1148 S Hillside St Ste 104, Wichita, KS 67211-4005 | 2008-05-19 |
| 1669671707 | Christi Lorraine Leach | Psychiatry & Neurology | 1515 S Clifton Ave Ste 300, Wichita, KS 67218-2953 | 2007-07-17 |
| 1720284250 | Trever Allen Krehbiel | Psychiatry & Neurology | 6432 E 34th St N Ste 100, Wichita, KS 67226-2537 | 2007-06-22 |
| 1871715086 | Rhanda Marie M Eboh | Psychiatry & Neurology | 4723 E Douglas Ave, Wichita, KS 67218-1012 | 2007-05-03 |
| 1780800326 | Achutha N. Reddy, M.d., P. A. | Psychiatry & Neurology | 1871 W 21st St N, Wichita, KS 67203-2104 | 2007-04-18 |
| 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.