PREFERRED MEDICAL ASSOCIATES (NPI# 1295918142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295918142 |
| Entity Type | Organization |
| Organization Name | PREFERRED MEDICAL ASSOCIATES |
| Other Organization Name | VCMA PEDS GASTRO |
| Practice Address |
848 N Saint Francis St Ste 3949 Wichita KS 67214-3800 |
| Mailing Address |
Po Box 764 Wichita KS 67201-0764 |
| Practice Telephone | 3162688040 |
| Practice Fax Number | 3162914880 |
| Mailing Telephone | 3162688040 |
| Mailing Fax Number | 3162914880 |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2010-07-14 |
| Authorized Official Name | DR. EDWARD J HETT (PRESIDENT) |
| Authorized Official Telephone | 3162688080 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | PREFERRED MEDICAL ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100003230Y | 05 |
| Other Name | Type Code |
|---|---|
| VCMA PEDS GASTRO | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053639807 | Preferred Medical Associates | Obstetrics & Gynecology | 14700 W. St. Teresa, Ste. 370, Wichita, KS 67235-9600 | 2010-05-04 |
| 1750523494 | Preferred Medical Associates | Family Medicine | 8444 W 21st Street, Ste B, Wichita, KS 67205-1752 | 2009-03-26 |
| 1669653705 | Preferred Medical Associates | Durable Medical Equipment & Medical Supplies | 723 N Mclean Blvd, Ste 330, Wichita, KS 67203-4942 | 2007-11-16 |
| 1326229469 | Preferred Medical Associates | Durable Medical Equipment & Medical Supplies | 14700 W Saint Teresa St, Ste. 130, Wichita, KS 67235-9603 | 2007-11-16 |
| 1417241902 | Preferred Medical Associates | Obstetrics & Gynecology | 1515 S Clifton Ave, Ste. 130, Wichita, KS 67218-2900 | 2011-06-02 |
| 1326365503 | Preferred Medical Associates | Family Medicine | 1100 N Saint Francis St, 4th Floor, Wichita, KS 67214-2878 | 2010-04-27 |
| 1710203146 | Preferred Medical Associates | Otolaryngology | 848 N Saint Francis St, Ste. 2925, Wichita, KS 67214-3800 | 2010-04-09 |
| 1245564368 | Preferred Medical Associates | Psychiatry & Neurology | 848 N Saint Francis St, Ste. 3901, Wichita, KS 67214-3800 | 2009-09-22 |
| 1205061017 | Preferred Medical Associates | Psychiatry & Neurology | 848 N Saint Francis St, Ste. 3949, Wichita, KS 67214-3800 | 2009-05-22 |
| 1306071303 | Preferred Medical Associates | Internal Medicine | 848 N Saint Francis St, Ste. 2968, Wichita, KS 67214-3800 | 2009-05-19 |
| Street Address |
848 N SAINT FRANCIS ST STE 3949 |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265437685 | Toni L Sadler | Physician Assistant | 848 N Saint Francis St, Ste. 3901, Wichita, KS 67214-3800 | 2005-06-14 |
| 1881144376 | Kelli Anne Rice | Nurse Practitioner | 848 N Saint Francis St, Ste. 391, Wichita, KS 67214-3800 | 2016-10-07 |
| 1912379132 | Tonya Loveland | Nurse Practitioner | 848 N Saint Francis St, Suite 3901, Wichita, KS 67214-3800 | 2015-10-27 |
| 1346512423 | Erica Schumacher | Nurse Practitioner | 848 N Saint Francis St, Ste. 2925, Wichita, KS 67214-3800 | 2012-02-03 |
| 1912292020 | Vanessa G Baca | Nurse Practitioner | 848 N Saint Francis St, Ste 3950, Wichita, KS 67214-3800 | 2011-06-16 |
| 1154639185 | Jean T Dukich | Registered Nurse | 848 N Saint Francis St, Suite 1900, Wichita, KS 67214-3841 | 2010-09-24 |
| 1891007746 | Pedro Wilfrido Vivar Cruz | Psychiatry & Neurology | 848 N Saint Francis St, #3901, Wichita, KS 67214-3800 | 2010-07-08 |
| 1710203146 | Preferred Medical Associates | Otolaryngology | 848 N Saint Francis St, Ste. 2925, Wichita, KS 67214-3800 | 2010-04-09 |
| 1245564368 | Preferred Medical Associates | Psychiatry & Neurology | 848 N Saint Francis St, Ste. 3901, Wichita, KS 67214-3800 | 2009-09-22 |
| 1205061017 | Preferred Medical Associates | Psychiatry & Neurology | 848 N Saint Francis St, Ste. 3949, Wichita, KS 67214-3800 | 2009-05-22 |
| Find all providers in the same location | ||||
| 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 | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114120466 | Mayssa Zayat | Pediatrics | 818 N Emporia St, Suite 107, Wichita, KS 67214-3729 | 2007-06-06 |
| 1437368263 | Lana N. Hattar | Pediatrics | 818 N Emporia St, Suite 107, Wichita, KS 67214-3729 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073728002 | Osama Farouq Almadhoun | Pediatrics | 3901 Rainbow Blvd # Ks, Dept of Pediatrics, Mail Stop 3063, Kansas City, KS 66160-8500 | 2007-05-12 |
| 1376954461 | Amornluck Krasaelap | Pediatrics | 5808 W 110th St, Overland Park, KS 66211-2504 | 2014-05-12 |
| 1972922698 | Taina Jausurawong Hudson | Pediatrics | 5808 W 110th St, Overland Park, KS 66211-2504 | 2014-04-09 |
| 1578901153 | Gracielle Nicole Bahia | Pediatrics | 5808 W 110th St, Overland Park, KS 66211-2504 | 2013-06-05 |
| 1174782395 | Valentine Enemuo | Pediatrics | 10550 Quivira Rd Ste 520, Overland Park, KS 66215-2307 | 2008-06-03 |
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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.