WICHITA MEDICAL ASSOCIATES, PA (NPI# 1396796991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396796991 |
| Entity Type | Organization |
| Organization Name | WICHITA MEDICAL ASSOCIATES, PA |
| Practice Address |
347 S Laura St Wichita KS 67211 |
| Mailing Address |
347 S. Laura St. Wichita KS 67211-1518 |
| Practice Telephone | 3166867117 |
| Practice Fax Number | 3166862679 |
| Mailing Telephone | 3166867117 |
| Mailing Fax Number | 3166862679 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-02-06 |
| Authorized Official Name | KAREN M HERNANDEZ (PRACTICE MANAGER) |
| Authorized Official Telephone | 3166867117 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
77864 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
76886 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
74898 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
44290 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
44906 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
19204 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS OF KANSAS | 016291 | 01 |
| KS | 100004190A | 05 | |
| KS | RAILROAD MEDICARE | CN3326 | 01 |
| Street Address |
347 S LAURA ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245234723 | Kathleen A Barrett | Nurse Practitioner | 347 S Laura St, Wichita, KS 67211-1518 | 2005-06-13 |
| 1245711050 | Juliet Makena Gatobu | Nurse Practitioner | 347 S Laura St, Wichita, KS 67211-1518 | 2018-08-29 |
| 1780199901 | Amber Danelle Good | Nurse Practitioner | 347 S Laura St, Wichita, KS 67211-1518 | 2017-12-11 |
| 1295101756 | Michael M Katunzi | Nurse Practitioner | 347 S Laura St, Wichita, KS 67211 | 2015-08-18 |
| 1174774756 | Benita F Lane | Nurse Practitioner | 347 S Laura St, Wichita, KS 67211 | 2008-10-01 |
| 1750504197 | Bonnie Jean Huss | Nurse Practitioner | 347 S Laura St, Wichita, KS 67211 | 2007-04-11 |
| 1841221520 | Amy S Mccue | Nurse Practitioner | 347 S Laura St, Wichita, KS 67211-1518 | 2006-07-05 |
| 1790737302 | Judith K Algrim | Nurse Practitioner | 347 S Laura St, Wichita, KS 67211-1518 | 2006-05-16 |
| 1982654638 | Rodney K Bryant | Internal Medicine | 347 S Laura St, Wichita, KS 67211 | 2006-05-12 |
| 1235189986 | Amy R Siple | Nurse Practitioner | 347 S Laura St, Wichita, KS 67211 | 2006-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162683 | Karlee Dawn Gluszek | Specialist/Technologist | 1947 S Lulu St, Wichita, KS 67211 | 2017-09-07 |
| 1780139659 | Jaclyn Blyholder | Dentist | 639 S. Hillside, Wichita, KS 67211 | 2016-08-22 |
| 1356715379 | Revitalize Physical Therapy LLC | Physical Therapist | 227 S Ida St, Wichita, KS 67211 | 2015-11-16 |
| 1750753232 | Accurate Sleep Lab | Clinical Medical Laboratory | 411 S Pattie St Suite 2, Wichita, KS 67211 | 2015-10-23 |
| 1841628013 | Joseph Michael Stech | Family Medicine | 940 S. St. Francis, Guadalupe Clinic, Wichita, KS 67211 | 2013-10-24 |
| 1902166648 | Debby Elwood | Counselor | 830 S. Hillside, Wichita, KS 67211 | 2012-05-28 |
| 1205038726 | Patricia (pat) J. Eagleman | Social Worker | 333 S. Greenwood, Wichita, KS 67211 | 2007-06-05 |
| 1114147717 | Rodolfo A Argosino Md Pa | Family Medicine | 1148 S Hillside, 106, Wichita, KS 67211 | 2007-04-26 |
| 1801911086 | Susan Wright Rockley | Physical Therapist | 2535 East Lincoln, Wichita, KS 67211 | 2007-03-20 |
| 1578618021 | Dependable Assisted Living | Home Health | 401 S Greenwood St, Wichita, KS 67211 | 2007-01-24 |
| Find all providers in zip 67211 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124037387 | Joanna M Tran | Internal Medicine | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2006-08-05 |
| 1982654638 | Rodney K Bryant | Internal Medicine | 347 S Laura St, Wichita, KS 67211 | 2006-05-12 |
| 1386630515 | Via Christi Regional Medical Center | Internal Medicine | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245741446 | Frontier Healthcare LLC | Internal Medicine | 12140 Nall Ave Ste 125, Overland Park, KS 66209-2503 | 2017-10-16 |
| 1942319447 | Internal Medicine Specialists, Inc | Internal Medicine | 10540 Barkley St, Suite 205, Overland Park, KS 66212-1811 | 2006-08-29 |
| 1063437176 | Shelley Lynn Alexander | Internal Medicine | 10557 Mission Rd, Leawood, KS 66206-2522 | 2006-07-12 |
| 1811924780 | Charles I Davis Md Pa | Internal Medicine | 9250 Glenwood St, Suite 100, Overland Park, KS 66212-1365 | 2006-06-27 |
| 1871558692 | Dana C. Malis | Internal Medicine | 10977 Granada Ln Ste 105, Leawood, KS 66211-1415 | 2006-04-18 |
| 1770546129 | Pravin Sampat | Internal Medicine | 3300 Sw 29th St, Topeka, KS 66614-2039 | 2006-04-07 |
| 1346228921 | Charles Isaac Davis Jr. | Internal Medicine | 1615 Parker Ave, Osawatomie, KS 66064-1703 | 2006-01-04 |
| 1518469311 | Medical Specialists Pa | Internal Medicine | 10550 Marty St Ste 201, Overland Park, KS 66212-2557 | 2018-03-07 |
| 1336527134 | Laura Badjalimbe | Internal Medicine | 10977 Granada Ln Ste 105, Leawood, KS 66211-1415 | 2015-05-12 |
| 1699082776 | Melissa Jane Mills | Internal Medicine | 7405 Renner Rd, Ku Medwest, Shawnee, KS 66217-9414 | 2010-09-10 |
| Find all providers with the same taxonomy | ||||
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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.