DR. TITUS JACK WELLER (NPI# 1356760243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356760243 |
| Entity Type | Individual |
| Full Name | DR. TITUS JACK WELLER |
| Credential | M.D. |
| Practice Address |
1 Mt Carmel Way Pittsburg KS 66762-7587 |
| Practice Telephone | 6202316100 |
| Mailing Telephone | 6202316100 |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2018-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 04-38784 | KS | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 2018004967 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 S Ash St, Nevada, MO 647723224 | 4176673355 |
| Street Address |
1 MT CARMEL WAY |
| City | PITTSBURG |
| State | KS |
| Zip Code | 66762-7587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184603391 | Nathan C. Buerge | Nurse Anesthetist, Certified Registered | 1 Mt Carmel Way, Pittsburg, KS 66762-7587 | 2006-01-16 |
| 1770127110 | Shawn Patrick James | Dietitian, Registered | 1 Mt Carmel Way, Pittsburg, KS 66762-7587 | 2019-10-29 |
| 1811348592 | Jarin Mclain Redman | Internal Medicine | 1 Mt Carmel Way, Pittsburg, KS 66762-7587 | 2016-06-23 |
| 1962888271 | Healogics Specialty Physicians of Kansas, LLC | Preventive Medicine | 1 Mt Carmel Way, Pittsburg, KS 66762-7587 | 2015-08-10 |
| 1992111710 | Katelyn Marie Merando Falk | Family Medicine | 1 Mt Carmel Way, Pittsburg, KS 66762-7587 | 2014-07-02 |
| 1568898674 | Alicia Marie Evans | Nurse Anesthetist, Certified Registered | 1 Mt Carmel Way, Pittsburg, KS 66762-7587 | 2013-09-20 |
| 1063844496 | Peter Bates | Registered Nurse | 1 Mt Carmel Way, Pittsburg, KS 66762-7587 | 2013-08-08 |
| 1598031601 | Michael Phillips Md LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Mt Carmel Way, Pittsburg, KS 66762-7587 | 2012-03-23 |
| 1124307715 | Sandra L Krusich | Social Worker | 1 Mt Carmel Way, Pittsburg, KS 66762-7587 | 2011-08-12 |
| 1588953533 | Christine Rae Naccarato | Occupational Therapist | 1 Mt Carmel Way, Pittsburg, KS 66762-7587 | 2011-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172250 | Mallory Kate Revell | Student in an Organized Health Care Education/Training Program | 1701 S Broadway S, Irene Ransom Bradley School of Nursing, Psu, Pittsburg, KS 66762 | 2020-07-28 |
| 1245849967 | Shelbie Cosby | Student in an Organized Health Care Education/Training Program | 1701 S. Broadway St, Irene Ransom Bradley School of Nursing, Pittsburg, KS 66762 | 2020-07-28 |
| 1679103642 | Jessica Crager | Nurse Practitioner | 2401 S Tucker Terr, Ste 1, Pittsburg, KS 66762 | 2020-01-18 |
| 1376198226 | Apollo Services Inc | Durable Medical Equipment & Medical Supplies | 2505 S Springdale, Pittsburg, KS 66762 | 2019-08-07 |
| 1851885719 | Chelsea Duncan | Social Worker | 911 E Centennial, Pittsburg, KS 66762 | 2018-06-14 |
| 1902395858 | Alexandria Winter | Specialist/Technologist | 1701 S Homer Street, Pittsburg, KS 66762 | 2018-05-07 |
| 1811419633 | Troy Richard Quenzer | Specialist/Technologist | 1701 S Homer St, 213 Weede Phys Ed Bldg, Pittsburg, KS 66762 | 2017-07-13 |
| 1356727002 | John Klodt | Social Worker | 902 E Centennial Dr Apt 13a, Pittsburg, KS 66762 | 2015-08-05 |
| 1295120533 | Christine E. Conner | Nurse Practitioner | 1 Mt. Carmel Way, 2nd Floor, East, Pittsburg, KS 66762 | 2015-04-03 |
| 1700278983 | Performance Spine & Sport LLC | Chiropractor | 2597 S. Broadway Suite A, Pittsburg, KS 66762 | 2015-02-25 |
| Find all providers in zip 66762 | ||||
| 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 |
|---|---|---|---|---|
| 1124050125 | Stephen R Creme' | Emergency Medicine | 414 Quitman St, Pittsburg, TX 75686-1032 | 2006-07-07 |
| 1043493240 | Pittsburg Emergency Physicians, LLC | Emergency Medicine | 1 Mt Carmel Way, Pittsburg, KS 66762-7587 | 2007-12-11 |
| 1255371274 | Kathryn Goodwin Cornelius | Emergency Medicine | 1 Mt Carmel Way, Pittsburg, KS 66762-7587 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912563701 | Catherine Edwards Waldrop | Emergency Medicine | 5914 Johnson Dr, Mission, KS 66202-3329 | 2019-05-16 |
| 1841754660 | Cep America - Kansas, LLC | Emergency Medicine | 3251 N Rock Rd, Derby, KS 67037-3850 | 2019-01-25 |
| 1811491012 | Daniel Martin Kolm | Emergency Medicine | 2106 Olathe Blvd Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1417400235 | Medexpress Urgent Care Kansas, P.a. | Emergency Medicine | 1261 N Maize Road, Wichita, KS 67212-4302 | 2016-07-28 |
| 1710340443 | Medexpress Urgent Care Kansas, P.a. | Emergency Medicine | 2001 N Rock Road, Derby, KS 67037-3795 | 2016-03-31 |
| 1326433277 | Medexpress Urgent Care Kansas, P.a. | Emergency Medicine | 3420 W 6th St, Lawrence, KS 66049-3215 | 2015-03-30 |
| 1295146223 | Logan Robert Gorges | Emergency Medicine | 814 Marshall Dr, Fort Riley, KS 66442 | 2014-05-13 |
| 1063751352 | Runway Emergency Physicians LLC | Emergency Medicine | 8714 W 13th St N, Wichita, KS 67212-6221 | 2013-02-06 |
| 1982909891 | Mark Joshua Foland | Emergency Medicine | 8929 Parallel Parwkay, Attn: Emergency Department, Kansas City, KS 66112 | 2011-01-24 |
| 1194031542 | Kyung Hun Nam | Emergency Medicine | 3901 Rainbow Blvd - Ms1045, Kansas City, KS 66160 | 2010-08-24 |
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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.