MRS. KATHLEEN DIANE TYNDALL (NPI# 1366445157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366445157 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN DIANE TYNDALL |
| Credential | P.A. |
| Practice Address |
1122 N Topeka St Wichita KS 67214-2810 |
| Practice Telephone | (316) 866-2000 |
| Practice Fax Number | 3168552084 |
| Mailing Telephone | (316) 866-2000 |
| Mailing Fax Number | 3168552084 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2017-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1500883 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100643540A | 05 |
| Street Address |
1122 N TOPEKA ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638127 | Adam Lee Coppenbarger | Dentist | 1122 N Topeka St, Wichita, KS 67214-2810 | 2020-08-04 |
| 1902415003 | Tiffany Pinkston | Dentist | 1122 N Topeka St, Wichita, KS 67214-2810 | 2020-07-24 |
| 1215415476 | Mehvash S Shahzada | Dentist | 1122 N Topeka St, Wichita, KS 67214-2810 | 2018-07-31 |
| 1720570484 | Rachel Hayes Clark | Dentist | 1122 N Topeka St, Wichita, KS 67214-2810 | 2018-05-30 |
| 1922519669 | Molly Wiwi | Nurse Practitioner | 1122 N Topeka St, Wichita, KS 67214-2810 | 2017-10-21 |
| 1437697174 | Gracemed Health Clinic, Inc | Pharmacy | 1122 N Topeka St, Wichita, KS 67214-2810 | 2017-02-02 |
| 1972049799 | Sheila Adams | Nurse Practitioner | 1122 N Topeka St, Wichita, KS 67214-2810 | 2017-01-18 |
| 1518317072 | Charis Marie Mccoy | Nurse Practitioner | 1122 N Topeka St, Wichita, KS 67214-2810 | 2016-06-15 |
| 1891142261 | Sandrine Nkouga | Nurse Practitioner | 1122 N Topeka St, Wichita, KS 67214-2810 | 2016-05-16 |
| 1982085288 | Linda Gobin | Nurse Practitioner | 1122 N Topeka St, Wichita, KS 67214-2810 | 2015-06-11 |
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| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871116582 | Alia Porter | Physician Assistant | 115 N Terrace Dr, Wichita, KS 67208-3941 | 2020-05-28 |
| 1881217594 | Taylor Nicole Wondra | Physician Assistant | 1845 N Woodrow Ct, Wichita, KS 67203-2959 | 2020-05-28 |
| 1497378087 | Haley Nicole Northcutt | Physician Assistant | 10107 W Jamesburg St, Wichita, KS 67212-6743 | 2020-05-18 |
| 1649892357 | Mong Trinh Thi Hoang | Physician Assistant | 1933 N Wellington Pl, Wichita, KS 67203-2558 | 2020-05-15 |
| 1609434000 | Branden Tang | Physician Assistant | 10112 E Clark St, Wichita, KS 67207-7747 | 2019-05-31 |
| 1184093379 | Evan C Ohlman | Physician Assistant | 3009 N Cypress, Wichita, KS 67226-4003 | 2015-09-18 |
| 1629388079 | Sara A Hildreth | Physician Assistant | 9415 E Harry St Ste 202, Wichita, KS 67207-5076 | 2010-10-19 |
| 1477700235 | Heather S Bloomer | Physician Assistant | 2465 N Woodridge Ct, Wichita, KS 67226-8208 | 2008-08-25 |
| 1205030145 | William Paul Wondra | Physician Assistant | 141 W Elm St, Sedgwick County Detention Facility, Wichita, KS 67203-3848 | 2007-06-13 |
| 1194888602 | Vicki L Gromala | Physician Assistant | 1861 N. Road Road, Suite 105, Wichita, KS 67206-1264 | 2006-12-18 |
| 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.