B THEO MELLION (NPI# 1417983032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417983032 |
| Entity Type | Individual |
| Full Name | B THEO MELLION |
| Credential | PH.D, M.D. |
| Practice Address |
3223 N Webb Rd Suite 1 Wichita KS 67226-8175 |
| Practice Telephone | 3166092600 |
| Practice Fax Number | 2066092800 |
| Mailing Telephone | 3166092600 |
| Mailing Fax Number | 2066092800 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2017-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 0430952 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200270470B | 05 |
| Street Address |
3223 N WEBB RD SUITE 1 |
| City | WICHITA |
| State | KS |
| Zip Code | 67226-8175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154301687 | Leona K Adrian | Physician Assistant | 3223 N Webb Rd, Suite 1, Wichita, KS 67226 | 2006-01-19 |
| 1215445457 | Shawna Johnson | Nurse Practitioner | 3223 N Webb Rd, Ste 1, Wichita, KS 67226-8176 | 2018-01-22 |
| 1508101775 | Ehtisham Neurovascular Institute & Aesthestics P.a. | Psychiatry & Neurology | 3223 N Webb Rd, Suite 5, Wichita, KS 67226-8175 | 2012-11-29 |
| 1932414554 | Kristen Renee Hauserman | Nurse Practitioner | 3223 N Webb Rd, Ste 1, Wichita, KS 67226-8176 | 2010-08-09 |
| 1134449937 | Lillian R Harstine Md Pa | Internal Medicine | 3223 N Webb Rd, S 3, Wichita, KS 67226-8175 | 2010-06-03 |
| 1740431600 | Hanger Prosthetics & Orthotics East, Inc | Durable Medical Equipment & Medical Supplies | 3223 N Webb Rd, Suite 4, Wichita, KS 67226-8175 | 2008-10-08 |
| 1528244134 | Jacquelyn T Logan | Nurse Practitioner | 3223 N Webb Rd, Suite 1, Wichita, KS 67226-8175 | 2008-01-14 |
| 1538350830 | James Dudley Weimar | Neurological Surgery | 3223 N Webb Rd, Suite 1, Wichita, KS 67226-8175 | 2007-08-05 |
| 1164624516 | Christian S. Lothes | Neurological Surgery | 3223 N Webb Rd, Suite 1, Wichita, KS 67226-8175 | 2007-06-05 |
| 1598864001 | Pastor R Causin Jr. M.d., L.L.C. | Neuromusculoskeletal Medicine, Sports Medicine | 3223 N Webb Rd, Suite 5, Wichita, KS 67226-8175 | 2006-09-21 |
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| 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 |
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| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972879617 | Ashley L Barks | Neurological Surgery | 3223 N Webb Rd Ste 1, Wichita, KS 67226-8176 | 2012-03-27 |
| 1619260114 | Ea2, Pa | Neurological Surgery | 3305 E Douglas Ave, Suite 101, Wichita, KS 67218-1036 | 2011-05-17 |
| 1538350830 | James Dudley Weimar | Neurological Surgery | 3223 N Webb Rd, Suite 1, Wichita, KS 67226-8175 | 2007-08-05 |
| 1164624516 | Christian S. Lothes | Neurological Surgery | 3223 N Webb Rd, Suite 1, Wichita, KS 67226-8175 | 2007-06-05 |
| 1225059025 | John R Dickerson | Neurological Surgery | 3223 N Webb Rd, Suite 1, Wichita, KS 67226-8175 | 2006-07-21 |
| 1134140932 | Matthew Noel Henry | Neurological Surgery | 3223 N Webb Rd, Suite 1, Wichita, KS 67226-8175 | 2006-07-21 |
| 1114955911 | Paul Stein | Neurological Surgery | 7829 E Rockhill St, 303, Wichita, KS 67206-3920 | 2006-06-29 |
| 1346276961 | Raymond W Grundmeyer IIi | Neurological Surgery | 3223 N Webb Rd, Suite 1, Wichita, KS 67226-8175 | 2006-06-24 |
| 1871590646 | Nazih Moufarrij | Neurological Surgery | 818 N Emporia St, Suite 200, Wichita, KS 67214-3729 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609304112 | Zihan Masood | Neurological Surgery | The University of Kansas Medical Center, 3901 Rainbow Blvd, Ms 3021, Kansas City, KS 66160 | 2017-05-28 |
| 1477965846 | Domenico Gattozzi | Neurological Surgery | University of Kansas Hospital Dept Of, 3901 Rainbow Blvd, Ms 3021, Kansas City, KS 66160-0001 | 2014-05-20 |
| 1063686954 | Beatty Pa | Neurological Surgery | 2040 Hutton Rd Ste 105, Kansas City, KS 66109-4564 | 2008-04-22 |
| 1508061425 | Koji Christopher Ebersole | Neurological Surgery | 3901 Rainbow Blvd # Ms 3021, Kansas City, KS 66160-8500 | 2007-06-20 |
| 1922144856 | Kansas University Physicians Inc | Neurological Surgery | 5040 Sudler Hall, Mail Stop 3021 3901 Rainbow Blvd, Kansas City, KS 66160 | 2007-01-29 |
| 1285661835 | John A Clough | Neurological Surgery | 5340 College Blvd, Overland Park, KS 66211-1621 | 2006-06-27 |
| 1962475145 | Brian D Milligan | Neurological Surgery | 4000 Cambridge St, Kansas City, KS 66160-3246 | 2006-02-09 |
| 1902878887 | David Patrick Fritz | Neurological Surgery | 1130 W 4th St Ste 3204, Lawrence, KS 66044-1328 | 2006-02-03 |
| 1033180005 | John David Ebeling | Neurological Surgery | 634 Sw Mulvane, Ste 202, Topeka, KS 66606-2716 | 2006-01-30 |
| 1750361556 | Ali B. Manguoglu | Neurological Surgery | 501 S. Santa Fe, Suite 300, Salina, KS 67401 | 2006-01-18 |
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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.