DR. TYLER JAMES PANKO (NPI# 1457992448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457992448 |
| Entity Type | Individual |
| Full Name | DR. TYLER JAMES PANKO |
| Credential | DC |
| Practice Address |
7829 E Rockhill St Ste 303 Wichita KS 67206-3914 |
| Practice Telephone | 4028700659 |
| Mailing Telephone | 4028700659 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
01-06000 | KS | Chiropractic Providers |
| Street Address |
7829 E ROCKHILL ST STE 303 |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-3914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
| 1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
| 1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
| 1750804597 | Katelyn Aguiar | Psychologist | 250 N Rock Rd Ste 210, Wichita, KS 67206 | 2017-07-24 |
| 1457888778 | Mona Kay Cherryholmes | Social Worker | 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 | 2017-05-17 |
| 1164899415 | Elizabeth Herl | Marriage & Family Therapist | 250 N Rock Rd Ste 150, Wichita, KS 67206 | 2015-08-21 |
| 1851715510 | Ndjj Corp | Custodial Care Facility | 6403 E Marjore, Wichita, KS 67206 | 2014-02-14 |
| 1801238217 | Courtney Ann Lang | Physical Therapist | 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 | 2013-07-26 |
| 1194063032 | Peak Performance Health Pa | Chiropractor | 10111 E 21st St, #106, Wichita, KS 67206 | 2013-01-28 |
| 1750629002 | Rachel Marie Conrad | Speech-Language Pathologist | 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 | 2013-01-22 |
| Find all providers in zip 67206 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982014205 | Wilson Chiropractic and Wellness | Chiropractor | 1632 N Porter Ave, Wichita, KS 67203-2921 | 2014-05-08 |
| 1760811822 | Bluechip Spine & Sports Specialists, LLC | Chiropractor | 8336 E 21st St N, Suite #300, Wichita, KS 67206-2948 | 2013-11-08 |
| 1396961918 | Alex J Suh | Chiropractor | 1640 N. Broadway, Wichita, KS 67214 | 2007-04-18 |
| 1326143066 | David L Johnson | Chiropractor | 639 S Oliver St, Suite 200, Wichita, KS 67218-2325 | 2006-09-14 |
| 1033218052 | Shirley Fay Sagerty | Chiropractor | 2434 N Woodlawn Blvd, Ste 170, Wichita, KS 67220-3959 | 2006-09-22 |
| 1386602654 | Nathan Edward Holman | Chiropractor | 5800 W Central Ave, Wichita, KS 67212-2840 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023673068 | Jack Edward Gallagher | Chiropractor | 13400 Briar Dr Ste B, Leawood, KS 66209-3433 | 2019-05-06 |
| 1700278983 | Performance Spine & Sport LLC | Chiropractor | 2597 S. Broadway Suite A, Pittsburg, KS 66762 | 2015-02-25 |
| 1023421179 | Bradley William Carolan | Chiropractor | 9809 W 110th Street, Bld. 36, Overland Park, KS 66210-1401 | 2014-06-06 |
| 1669729737 | Dynamic Athletics Health & Performance Institute LLC | Chiropractor | 9111 Flint St, Overland Park, KS 66214-1737 | 2012-08-08 |
| 1962739888 | Joseph Charles Kingry-staton | Chiropractor | 2111 E Crawford St, Salina, KS 67401-1326 | 2009-11-13 |
| 1366699407 | Performance Chiropractic | Chiropractor | 708 S Rogers Rd Ste A, Olathe, KS 66062-1739 | 2008-08-20 |
| 1578719340 | Jesse D Walden | Chiropractor | 11652 W. 75 St., Shawnee, KS 66214 | 2008-08-13 |
| 1033303136 | Casey T Hummel | Chiropractor | 550 North Andover Road, Andover, KS 67002 | 2007-08-31 |
| 1902000607 | Ryan E Stevens | Chiropractor | 2000 W 47th Pl, Westwood, KS 66205-1803 | 2007-06-14 |
| 1063622983 | Gail J. Boyer | Chiropractor | 9770 Quivira Rd, Lenexa, KS 66215-1668 | 2007-05-22 |
| 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.