C WILSON WESBROOK (NPI# 1417966680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417966680 |
| Entity Type | Individual |
| Full Name | C WILSON WESBROOK |
| Credential | MD |
| Practice Address |
3311 E Murdock St Wichita KS 67208-3054 |
| Mailing Address |
Po Box 8035 Wichita KS 67208-0035 |
| Practice Telephone | 3166899234 |
| Practice Fax Number | 3166899720 |
| Mailing Telephone | 3166899135 |
| Mailing Fax Number | 3166899102 |
| Enumeration Date | 2006-08-06 |
| Last Update Date | 2007-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
16239 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | COVENTRY | 16930 | 01 |
| KS | HPK | 200162 | 01 |
| KS | BCBS | 018804 | 01 |
| KS | PHS | 1001 | 01 |
| KS | MULTIPLAN | 12149416 | 01 |
| Street Address |
3311 E MURDOCK ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67208-3054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811987324 | Bushra Sulieman | Internal Medicine | 3311 E Murdock St, Wichita, KS 67208-3054 | 2005-10-26 |
| 1770057812 | Hannah Roth | Physician Assistant | 3311 E Murdock St, Wichita, KS 67208-3054 | 2019-01-11 |
| 1881167682 | Megan Theresa Poell | Registered Nurse | 3311 E Murdock St, Wichita, KS 67208 | 2019-01-04 |
| 1629552484 | Nichole L Fischer | Nurse Practitioner | 3311 E Murdock St, Wichita, KS 67208-3054 | 2018-09-18 |
| 1215436647 | Joshua Cody Forsberg | Nurse Practitioner | 3311 E Murdock St, Wichita, KS 67208-3054 | 2018-02-12 |
| 1619484540 | Kelsey Olson | Licensed Practical Nurse | 3311 E Murdock St, Wichita, KS 67208-3054 | 2017-12-31 |
| 1174045520 | Genevieve Jo Gutierrez Davis | Nurse Practitioner | 3311 E Murdock St, Wichita, KS 67208-3054 | 2017-07-07 |
| 1013374990 | Ascension Medical Group Via Christi, Pa | Radiology | 3311 E Murdock St, Wichita, KS 67208-3054 | 2016-01-22 |
| 1013372671 | Krista Fischer | Nurse Practitioner | 3311 E Murdock St, Wichita, KS 67208-3054 | 2015-12-28 |
| 1639544992 | Tressie Maugans | Nurse Practitioner | 3311 E Murdock St, Wichita, KS 67208-3054 | 2015-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316218 | Wesley Urgent Care, LLC | Clinic/Center | 2060 N. Mid Campus Dr., Wichita, KS 67208 | 2019-09-24 |
| 1023574209 | Unified Care Homes, Inc. | Custodial Care Facility | 5705 E Rockhill, Wichita, KS 67208 | 2019-02-13 |
| 1164940730 | Donita Hock | Occupational Therapy Assistant | 622 N. Edgemoor St., Wichita, KS 67208 | 2017-09-05 |
| 1427439546 | Mental Health Association of Sck | Community/Behavioral Health | 555 N Woodlawn, S 3105, Wichita, KS 67208 | 2015-06-15 |
| 1013311430 | Adrian Matta | Occupational Therapy Assistant | 1915 Farmstead Street, Wichita, KS 67208 | 2014-10-14 |
| 1700285343 | Stephanie Kendrick | Physical Therapist | 4921 E. 21st Street North, Wichita, KS 67208 | 2014-08-20 |
| 1689087942 | Apeksha Sathyaprasad | Pediatrics | 3243 E Murdock St Ste 402, Wichita, KS 67208 | 2014-06-04 |
| 1437418019 | J. W, Leisy M.d.p.a. | Psychiatry & Neurology | 3310 East Douglas #101, Wichita, KS 67208 | 2012-05-16 |
| 1184993156 | College Hill-ltc LLC | Skilled Nursing Facility | 5005 East 21st Street North, Wichita, KS 67208 | 2011-12-21 |
| 1255616132 | Thane M Vaneaton | Pharmacist | 3333 East Central, Wichita, KS 67208 | 2011-10-11 |
| Find all providers in zip 67208 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912077975 | Karen R. Strecker, M.d. P.a. | Obstetrics & Gynecology | 1855 N. Webb Road, Wichita, KS 67206-3413 | 2006-11-08 |
| 1831423888 | Center for Womens Health of Wichita LLC | Obstetrics & Gynecology | 10111 E 21st St N, Suite 301, Wichita, KS 67206-3508 | 2009-09-23 |
| 1902976970 | Valerie Elizabeth Drake Albert, Md Pa | Obstetrics & Gynecology | 8100 E 22nd St N, Bldg 2200, Ste 2, Wichita, KS 67226-2388 | 2006-11-08 |
| 1679583033 | Matthew T Voth | Obstetrics & Gynecology | 1515 S Clifton Ave, Ste 400, Wichita, KS 67218-2900 | 2006-08-09 |
| 1952310120 | James R Whiddon | Obstetrics & Gynecology | 9300 E 29th St N, #320, Wichita, KS 67226-2182 | 2006-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215307384 | Michelle Elisabeth Ruebke | Obstetrics & Gynecology | 4819 S Hillside Rd, Newton, KS 67114-8816 | 2015-10-02 |
| 1396841367 | Gary A. Grimaldi | Obstetrics & Gynecology | 2701 S. Rouse, Ste. A, Pittsburg, KS 66762 | 2006-09-16 |
| 1255300893 | Herbert C Hodes | Obstetrics & Gynecology | 4840 College Blvd, Overland Park, KS 66211-1601 | 2006-03-16 |
| 1346570991 | Hodes & Nauser Mds Pa | Obstetrics & Gynecology | 4840 College Blvd, Overland Park, KS 66211-1601 | 2010-01-04 |
| 1932368255 | Leslie A Ablard | Obstetrics & Gynecology | 655 S Santa Fe Ave, Salina, KS 67401-4147 | 2008-06-02 |
| 1730391277 | Martha L Hurley Md Dba Associates In Womens Care | Obstetrics & Gynecology | 21 N 12th Street, Suite 350, Kansas City, KS 66102 | 2007-05-04 |
| 1790754349 | Traci L Nauser | Obstetrics & Gynecology | 4840 College Blvd, Overland Park, KS 66211-1601 | 2006-03-16 |
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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.