HEARTLAND PATHOLOGY PA (NPI# 1386624518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386624518 |
| Entity Type | Organization |
| Organization Name | HEARTLAND PATHOLOGY PA |
| Practice Address |
9300 E 29th St N Suite 208 Wichita KS 67226-2182 |
| Mailing Address |
Po Box 3462 Wichita KS 67201-3462 |
| Practice Telephone | 3166365666 |
| Practice Fax Number | 3166520340 |
| Mailing Telephone | 3166856236 |
| Mailing Fax Number | 3166520340 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2008-06-03 |
| Authorized Official Name | HANA RAZEK (PRESIDENT) |
| Authorized Official Telephone | 3166365666 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200268350A | 05 | |
| KS | BCBS | 117927 | 01 |
| Street Address |
9300 E 29TH ST N SUITE 208 |
| City | WICHITA |
| State | KS |
| Zip Code | 67226-2182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992700710 | Michael D Bates | Obstetrics & Gynecology | 9300 E 29th St N, Ste 201, Wichita, KS 67226-2183 | 2005-06-17 |
| 1629500020 | Mid Kansas Intimate | Obstetrics & Gynecology | 9300 E 29th St N, Suite 201, Wichita, KS 67226-2182 | 2017-04-03 |
| 1225422488 | Heartland Pathology Diagnostics, LLC | Clinical Medical Laboratory | 9300 E 29th St N, Wichita, KS 67226-2182 | 2015-03-26 |
| 1558763482 | Myria Oakley | Specialist/Technologist | 9300 E 29th St N, Wichita, KS 67226-2182 | 2014-09-23 |
| 1639582760 | Erik Leroy Keller | Specialist/Technologist | 9300 E 29th St N, Suite 205, Wichita, KS 67226-2182 | 2014-06-05 |
| 1750794111 | Renae Joyce Williamson | Specialist | 9300 E 29th St N, Suite 205, Wichita, KS 67226-2182 | 2014-06-03 |
| 1245579788 | Cypress Rt Associates LLC | Radiology | 9300 E 29th St N, Bldg 300 Ste 410, Wichita, KS 67226-2182 | 2013-02-04 |
| 1003160987 | Ahmad Qaddour | Internal Medicine | 9300 E 29th St N, Suite 310, Wichita, KS 67226-2182 | 2012-10-31 |
| 1639431208 | Melinda Bron | Obstetrics & Gynecology | 9300 E 29th St N, Suite 201, Wichita, KS 67226-2182 | 2012-06-11 |
| 1528329364 | Taylor Lynn Bertschy | Obstetrics & Gynecology | 9300 E 29th St N, Suite 201, Wichita, KS 67226-2182 | 2012-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111649 | Kansas Diabetes and Endocrinology Center LLC | Clinic/Center | 3161 N Webb Rd, Suite 200, Wichita, KS 67226 | 2018-10-25 |
| 1619474020 | Village Dentistry, Pa | Dentist | 2222 N. Greenwich, Suite 400, Wichita, KS 67226 | 2018-04-11 |
| 1861910408 | Lindsay Beth Kachelmeier | Marriage & Family Therapist | 6525 E Mainsgate, Wichita, KS 67226 | 2017-09-04 |
| 1659800084 | Doris Kimbrell | Clinical Nurse Specialist | 8200 East Thorn, Wichita, KS 67226 | 2017-06-08 |
| 1467986836 | Megan Elizabeth Couey | Counselor | 8623 E 32nd St. N, Suite 100, Wichita, KS 67226 | 2017-04-12 |
| 1306298922 | Wilson Yip | Dentist | 2222 N Greenwich Rd, Wichita, KS 67226 | 2016-07-07 |
| 1396102315 | Healthy Balance Center, LLC | Marriage & Family Therapist | 8100 E 22nd St. North, #1800-2, Wichita, KS 67226 | 2016-01-21 |
| 1851775142 | Cardiac Cath Lab of Wichita Lp | Clinic/Center | 3555 North Webb Rd., Suite A, Wichita, KS 67226 | 2015-07-16 |
| 1114334067 | Jane Crawford | Nurse Practitioner | 8623 E 32nd St N, Wichita, KS 67226 | 2014-07-11 |
| 1801202882 | Erin Kellie Jeffress | Occupational Therapy Assistant | 3500 N Rock Rd, Building 2200, Ste 101, Wichita, KS 67226 | 2014-07-10 |
| Find all providers in zip 67226 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629121686 | Joel W Alderson | Pathology | 959 N St Francis, Wichita, KS 67214-3821 | 2007-01-20 |
| 1295769057 | Fangyuan Fred Zhang | Pathology | 9300 E 29th St N Ste 208, Wichita, KS 67226-2183 | 2006-07-10 |
| 1366407215 | Pamela D Pierce | Pathology | 929 N St Frances, Wichita, KS 67214-3821 | 2006-04-20 |
| 1962000273 | Forward Pathology Solutions Wichita, LLC | Pathology | 550 N Hillside St, Wichita, KS 67214-4910 | 2020-10-09 |
| 1942696497 | Erik Dill | Pathology | 3600 E Harry St, Wichita, KS 67218-3713 | 2015-04-11 |
| 1215203039 | Daniel Ngoc Dang | Pathology | 3600 E Harry St, Wichita, KS 67218-3713 | 2012-03-26 |
| 1376869651 | Lidia S Manouilova | Pathology | 929 N St Francis, Wichita, KS 67214-3821 | 2010-04-12 |
| 1639315930 | Dwight Kahala Oxley IIi | Pathology | 550 N. Hillside, Pathology Department, Wichita, KS 67214-4910 | 2008-12-17 |
| 1730348624 | Christopher M. Fox | Pathology | 5500 E Kellogg Dr, Room 122a-34, Wichita, KS 67218-1607 | 2008-06-05 |
| 1245422963 | Kristin Therese Galan | Pathology | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2007-08-16 |
| Find all providers in WICHITA | ||||
Please comment or provide details below to improve the information on HEARTLAND PATHOLOGY PA.
| 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.