HENRY TAYLOR SKIDMORE


Address: 57950 Leavenworth St Ste 4e1, Wichita, KS 67221-3506
Phone: 3167595116

HENRY TAYLOR SKIDMORE (NPI# 1366948002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366948002
Entity Type Individual
Full Name HENRY TAYLOR SKIDMORE
Credential DO
Practice Address 57950 Leavenworth St Ste 4e1
Wichita
KS 67221-3506
Practice Telephone 3167595116
Practice Fax Number 3167596553
Mailing Telephone 3167595116
Enumeration Date 2018-04-02
Last Update Date 2020-02-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 17524 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 57950 LEAVENWORTH ST STE 4E1
City WICHITA
State KS
Zip Code 67221-3506

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922528421 Rose Lee Samples Nurse Practitioner 51950 Leavenworth St., Family Health Clinic 22 Mdg, Mcconnell Afb, KS 67221 2017-06-26
1114247913 Dawn Marie Clifton Nurse Practitioner 57950 Leavenworth Ave Bldg 250, 22d Medical Group, Mcconnell Afb, KS 67221 2010-06-03
1467514489 22nd Medical Group Pharmacy 57590 Leavenworth Bldg 250, Mcconnell Afb, KS 67221 2006-12-15
1336182153 National Vision, Inc. Eyewear Supplier (Equipment, not the service) Derby Street, Building 352, Mcconnell Afb, KS 67221 2006-06-13
1578919049 Kathryn Rachel Kocher Pediatrics 57950 Leavenworth St, Mcconnell Afb, KS 67221 2016-05-13
1922232271 Richard Jimenez Rubi Military Health Care Provider 22 Mdg, Mcconnell Afb, KS 67221 2009-05-14
1871581306 Joshua A Hartman Emergency Medicine 57950 Leavenworth St Bldg 248, Mcconnell Afb, KS 67221-3505 2005-10-10
1184242604 Lindsey Allison Cunningham Dentist 57950 Leavenworth St, Wichita, KS 67221-3505 2020-07-10
1164052700 Taylor Holloway Family Medicine 57950 Leavenworth St Bldg 250, Mcconnell Afb, KS 67221-3505 2020-01-23
1669969424 Alesha Avis Heinz Student in an Organized Health Care Education/Training Program 57950 Leavenworth Street, Suite 4e1, Mcconnell Afb, KS 67221-3506 2018-04-17
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407144058 Healing Waters Wichita Lc General Practice 2000 N Rock Rd, Suite 100, Wichita, KS 67206-1201 2011-07-18
1184662595 Lawrence W Lay Do Pa General Practice 3343 W Central, Wichita, KS 67203 2006-06-04
1396278941 Kansas Pain Care Groupllc General Practice 4817 E Douglas Ave, Suite 200, Wichita, KS 67218-1013 2017-04-10
1053672113 Richard Wood General Practice 57950 Leavenworth St, Wichita, KS 67221-3506 2012-06-06
1396055117 Kansas Physicians Group, LLC General Practice 2600 N Woodlawn Blvd, Wichita, KS 67220-2729 2010-10-14
1275784340 A J Reed General Practice 2456 N Woodlawn Blvd, Suite 1, Wichita, KS 67220-3968 2008-10-07
1801990080 Margaret Anne Detmer General Practice 8404 W 13th St N, Suite 200, Wichita, KS 67212-2978 2006-09-11
1093763674 Lawrence W Lay General Practice 3343 W Central Ave, Wichita, KS 67203-4917 2006-05-05
1770545436 Earl F George General Practice 2535 E Lincoln St, Wichita, KS 67211 2006-04-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003437419 Lewis H. Roht General Practice 12512 High Drive, Leawood, KS 66209-1341 2020-04-27
1437794302 Sme Kansas P.a. General Practice 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 2019-11-14
1508360405 Landmark Medical of Kansas Pa General Practice 5350 College Blvd Ste 122, Overland Park, KS 66211-1633 2018-03-23
1902342892 Drsalliance LLC General Practice 13968 Santa Fe Trail Dr, Lenexa, KS 66215-3382 2017-01-16
1114470010 St Catherine Hospital General Practice 2051 E Mary St, Garden City, KS 67846-3617 2016-07-27
1053706655 Aubrey Shea Ralston General Practice 700 W Central Ave Ste 205, El Dorado, KS 67042 2015-03-31
1245631100 James Berry General Practice 10821 S Whitetail Ln, Olathe, KS 66061-9395 2014-09-10
1427470087 Chs Health Services, LLC General Practice 2000 Nw Us Highway 24, Topeka, KS 66618-1445 2014-01-15
1942556824 Leland Ray Kaufman General Practice 1500 E. 10th, Bldg B/2, Winfield, KS 67156 2012-07-30
1417211665 James M Stanford General Practice 202 S Frisco St, Coldwater, KS 67029-9101 2012-07-02
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Competitor

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City WICHITA
Zip Code 67221

Improve Information

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Dataset Information

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.

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