DR. IMUDIA DEKONTE EHANIRE (NPI# 1427285311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427285311 |
| Entity Type | Individual |
| Full Name | DR. IMUDIA DEKONTE EHANIRE |
| Credential | MD |
| Practice Address |
305 W 15th St Ste 204 Liberal KS 67901-2455 |
| Mailing Address |
Po Box 1215 Attn Clinic Billing Office Liberal KS 67905-1215 |
| Practice Telephone | 6206244946 |
| Practice Fax Number | 6206242260 |
| Mailing Telephone | 6206296638 |
| Mailing Fax Number | 6206296684 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2017-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 0439349 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 201142810A | 05 | |
| OK | 200655770A | 05 |
| Street Address |
305 W 15TH ST STE 204 |
| City | LIBERAL |
| State | KS |
| Zip Code | 67901-2455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891743845 | Lamberto Opulencia Flores | Obstetrics & Gynecology | 305 W 15th St, Ste 104, Liberal, KS 67901-2455 | 2006-05-04 |
| 1710370697 | Jennifer Lynn Antrim | Nurse Practitioner | 305 W 15th St, Suite 103, Liberal, KS 67901-2455 | 2015-03-16 |
| 1962847871 | Fadi A Darwiche | Urology | 305 W 15th St, Ste 102, Liberal, KS 67901-2455 | 2013-05-06 |
| 1245576909 | Central Care, Pa | Specialist | 305 W 15th St, Suite 203, Liberal, KS 67901-2455 | 2012-12-27 |
| 1700148442 | Liberal Family Medicine, LLC | Family Medicine | 305 W 15th St, Suite 103, Liberal, KS 67901 | 2012-06-08 |
| 1144493040 | Southwest Medical Center | Surgery | 305 W 15th St, Liberal, KS 67901-2455 | 2008-04-11 |
| 1083793087 | Jose A. Maeda | Surgery | 305 W 15th St, Suite 204, Liberal, KS 67901-2455 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104264803 | Juanita Elise Monroe | Registered Nurse | 515 4th St, Liberal, KS 67901 | 2013-06-05 |
| 1588917454 | Liberal Diagnostics, LLC | Clinic/Center | 23 Professional Drive, Liberal, KS 67901 | 2012-10-17 |
| 1598091001 | Sunflower Pediatrics | Pediatrics | 2132 N. Kansas Ave, Ste B, Liberal, KS 67901 | 2009-10-19 |
| 1477780955 | Southwest Medical Center | Clinic/Center | 1411 W. 15th Street, Ste. 102, Liberal, KS 67901 | 2009-06-11 |
| 1336375104 | Nchang Mantoh Azefor | Surgery | 305 W 15th St Ste 204, Liberal, KS 67901 | 2009-06-06 |
| 1114152121 | Firas I. Kawtharani | Orthopaedic Surgery | 305 W 15th St Ste 101, Liberal, KS 67901 | 2009-05-19 |
| 1871613067 | William (bill) Joseph Michael Settle | Anesthesiology | 2132 N Kansas Avenue, Suite C, Liberal, KS 67901 | 2007-03-30 |
| 1851430532 | Bruce W Jackson | Dentist | 111 Lilac Dr, Liberal, KS 67901 | 2007-02-06 |
| 1376637058 | Dr. Peter Lee D.o. | Clinic/Center | 23 East 11th, Liberal, KS 67901 | 2006-10-03 |
| 1568574002 | Terry Dee Romans | Dentist | 2110 N Grant, Liberal, KS 67901 | 2006-08-31 |
| Find all providers in zip 67901 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336375104 | Nchang Mantoh Azefor | Surgery | 305 W 15th St Ste 204, Liberal, KS 67901 | 2009-06-06 |
| 1154504421 | John A Buie, M.d. P.C. | Surgery | 1411 W 15th St Ste 302, Liberal, KS 67901-2285 | 2007-12-10 |
| 1558355586 | John A Buie | Surgery | 1411 W 15th St, Suite 302, Liberal, KS 67901 | 2005-09-06 |
| 1144493040 | Southwest Medical Center | Surgery | 305 W 15th St, Liberal, KS 67901-2455 | 2008-04-11 |
| 1487841474 | Anthony J Canfield Md Facs, L | Surgery | 1411 W 15th St, Suite 302, Liberal, KS 67901-2288 | 2007-10-03 |
| 1083793087 | Jose A. Maeda | Surgery | 305 W 15th St, Suite 204, Liberal, KS 67901-2455 | 2006-11-02 |
| 1861503849 | Advanced Surgical Weight Loss, Chartered | Surgery | 555 W 15th St, Suite B, Liberal, KS 67901-2467 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851886949 | Adam Kahle | Surgery | 4000 Cambridge, Department of Surgery, M/s 2005, Kansas City, KS 66160 | 2018-06-29 |
| 1083148894 | Lauren Welch | Surgery | 9001 W 120th Ter, Overland Park, KS 66213-1538 | 2017-04-18 |
| 1720475858 | Michael Joannides | Surgery | 5100 W 110th St Ste 110, Overland Park, KS 66211-1215 | 2015-04-15 |
| 1871913426 | Joel Vandervelde | Surgery | 6001 Sw 6th Ave Ste 220, Topeka, KS 66615-1004 | 2014-04-22 |
| 1902245624 | Stanley Allen Skaer | Surgery | 1788 N Rd, Eureka, KS 67045-4506 | 2013-06-15 |
| 1659717023 | Paige Harwell | Surgery | 818 N Emporia St Ste 303, Wichita, KS 67214 | 2013-05-13 |
| 1508108945 | Jarvis Wayne Walters | Surgery | 4013 N Ridge Rd Ste 210, Wichita, KS 67205-8860 | 2013-03-25 |
| 1497094569 | Tracy E Sambo | Surgery | 629 S. Plummer Ave., Chanute, KS 66720-0426 | 2013-02-08 |
| 1609114842 | Frederic C Chang | Surgery | 35 E Via Roma St, Wichita, KS 67230-1602 | 2013-01-23 |
| 1952664708 | Sunflower Surgical Specialists | Surgery | 268 Ne 140th Street, Saint Jones, KS 67576-1594 | 2012-06-18 |
| 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.