KANSAS GASTROENTEROLOGY LLC (NPI# 1477547727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477547727 |
| Entity Type | Organization |
| Organization Name | KANSAS GASTROENTEROLOGY LLC |
| Practice Address |
848 N Saint Francis St Suite 2945 Wichita KS 67214-3800 |
| Mailing Address |
Po Box 47572 Wichita KS 67201-7572 |
| Practice Telephone | 3162613130 |
| Practice Fax Number | 3162613275 |
| Mailing Telephone | 3162613130 |
| Mailing Fax Number | 3162613275 |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ESTEPHAN N ZAYAT (MANAGING PARTNER) |
| Authorized Official Telephone | 3162613130 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
========= | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200253030A | 05 |
| Street Address |
848 N SAINT FRANCIS ST SUITE 2945 |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265437685 | Toni L Sadler | Physician Assistant | 848 N Saint Francis St, Ste. 3901, Wichita, KS 67214-3800 | 2005-06-14 |
| 1881144376 | Kelli Anne Rice | Nurse Practitioner | 848 N Saint Francis St, Ste. 391, Wichita, KS 67214-3800 | 2016-10-07 |
| 1912379132 | Tonya Loveland | Nurse Practitioner | 848 N Saint Francis St, Suite 3901, Wichita, KS 67214-3800 | 2015-10-27 |
| 1346512423 | Erica Schumacher | Nurse Practitioner | 848 N Saint Francis St, Ste. 2925, Wichita, KS 67214-3800 | 2012-02-03 |
| 1912292020 | Vanessa G Baca | Nurse Practitioner | 848 N Saint Francis St, Ste 3950, Wichita, KS 67214-3800 | 2011-06-16 |
| 1154639185 | Jean T Dukich | Registered Nurse | 848 N Saint Francis St, Suite 1900, Wichita, KS 67214-3841 | 2010-09-24 |
| 1891007746 | Pedro Wilfrido Vivar Cruz | Psychiatry & Neurology | 848 N Saint Francis St, #3901, Wichita, KS 67214-3800 | 2010-07-08 |
| 1710203146 | Preferred Medical Associates | Otolaryngology | 848 N Saint Francis St, Ste. 2925, Wichita, KS 67214-3800 | 2010-04-09 |
| 1245564368 | Preferred Medical Associates | Psychiatry & Neurology | 848 N Saint Francis St, Ste. 3901, Wichita, KS 67214-3800 | 2009-09-22 |
| 1205061017 | Preferred Medical Associates | Psychiatry & Neurology | 848 N Saint Francis St, Ste. 3949, Wichita, KS 67214-3800 | 2009-05-22 |
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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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558361261 | Estephan N Zayat | Internal Medicine | 3121 N Webb Rd, Suite 101, Wichita, KS 67226-8119 | 2005-07-22 |
| 1114366515 | Bassem Matta | Internal Medicine | 3121 N Webb Rd Ste 101, Wichita, KS 67226-8119 | 2013-06-18 |
| 1538416318 | Saritha Gorantla | Internal Medicine | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2012-08-10 |
| 1952496937 | Alonso Galvan | Internal Medicine | 1431 S Bluffview Dr, Ste. 102, Wichita, KS 67218-3039 | 2006-10-04 |
| 1861599375 | Francisco Cabatic Rausa | Internal Medicine | 1148 South Hillside, 12b, Wichita, KS 67211 | 2006-09-19 |
| 1730281932 | Maria Corazon Chang | Internal Medicine | 3311 E Murdock St, Wichita, KS 67208-3054 | 2006-09-01 |
| 1073542593 | Robert C Hagan | Internal Medicine | 3311 E Murdock St, Wichita, KS 67208-3054 | 2006-06-30 |
| 1366479776 | Richard M Skibba | Internal Medicine | 3311 E Murdock St, Wichita, KS 67208-3054 | 2006-06-28 |
| 1295770832 | William R Kilgore | Internal Medicine | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2006-06-18 |
| 1124028931 | James A Whitaker | Internal Medicine | 848 N Saint Francis St, Suite 2945, Wichita, KS 67214-3800 | 2005-07-22 |
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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.