MARCUS TJEERDSMA (NPI# 1427541861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427541861 |
Entity Type | Individual |
Full Name | MARCUS TJEERDSMA |
Practice Address |
1010 N Kansas St Wichita KS 67214-3124 |
Practice Telephone | 3162932665 |
Mailing Telephone | 3162932665 |
Enumeration Date | 2018-06-11 |
Last Update Date | 2018-06-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | 94-09512 | KS | Allopathic & Osteopathic Physicians |
Street Address |
1010 N KANSAS ST |
City | WICHITA |
State | KS |
Zip Code | 67214-3124 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770557894 | Brenda A Issa | Pediatrics | 1010 N Kansas St, Wichita, KS 67214-3124 | 2006-02-15 |
1144845736 | Daniel Yassa | Pediatrics | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-10 |
1912522780 | Zachary Donoviel | Orthopaedic Surgery | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-08 |
1205451085 | David Masolak | Psychiatry & Neurology | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-08 |
1891310678 | Beau Fry | Family Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-08 |
1861016834 | Abhiram Challa | Internal Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-04 |
1598389611 | Garrett Westman | Family Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-04 |
1174147318 | Garrett Walker | Family Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-03 |
1003430331 | Javanthi Theegala | Psychiatry & Neurology | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-02 |
1932722394 | Nicholas Tuck | Internal Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-05-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
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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 |
---|---|---|---|---|
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 |
1609114842 | Frederic C Chang | Surgery | 35 E Via Roma St, Wichita, KS 67230-1602 | 2013-01-23 |
1760758791 | Sammy H. Kouri | Surgery | 619 N Armour Wichita, Wichita, KS 67206 | 2012-03-23 |
1215222542 | Rori Mankins | Surgery | 818 N Emporia St Ste 200, Wichita, KS 67214 | 2011-06-15 |
1710271549 | Mark Mankins | Surgery | 9350 E 35th St N Ste 103, Wichita, KS 67226-2022 | 2011-06-09 |
1306007430 | Andrew S Hentzen | Surgery | 3243 E Murdock St Ste 4404, Wichita, KS 67208-3052 | 2008-06-20 |
1609036326 | Thomas Robert Resch | Surgery | 818 N. Emporia, Suite 200, Wichita, KS 67214 | 2008-06-16 |
1972663946 | John Vincent Young Jr. | Surgery | 8106 E Champions St, Wichita, KS 67226-3324 | 2006-12-11 |
1700979473 | Hector O. Fernandez Sr. | Surgery | 1333 N. Broadway, Ste. A, Wichita, KS 67214 | 2006-10-02 |
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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.