EHTISHAM NEUROVASCULAR INSTITUTE & AESTHESTICS P.A. (NPI# 1508101775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508101775 |
| Entity Type | Organization |
| Organization Name | EHTISHAM NEUROVASCULAR INSTITUTE & AESTHESTICS P.A. |
| Practice Address |
3223 N Webb Rd Suite 5 Wichita KS 67226-8175 |
| Mailing Address |
6120 Shadybrook St Wichita KS 67208-1862 |
| Practice Telephone | 3163032153 |
| Practice Fax Number | 8773810101 |
| Mailing Telephone | 3166334413 |
| Mailing Fax Number | 8773810101 |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |
| Authorized Official Name | DR. AS'AD EHTISHAM (OWNER) |
| Authorized Official Telephone | 3163032153 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
04-31300 | KS | Allopathic & Osteopathic Physicians |
| Y | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
04-31300 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
3223 N WEBB RD SUITE 5 |
| 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 |
| 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 |
| 1942302625 | Pastor Ruiz Causin Jr. | Neuromusculoskeletal Medicine, Sports Medicine | 3223 N Webb Rd, Suite 5, Wichita, KS 67226-8175 | 2006-09-02 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 67226 | ||||
| Taxonomy Code | 2084V0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Vascular Neurology |
| Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346469186 | Jayashree Sundararajan | Psychiatry & Neurology | 1020 Wescoe, C/o Debbie Jursch, Kansas City, KS 66160-0001 | 2007-04-24 |
| 1689020950 | Monika Manchanda | Psychiatry & Neurology | 3901 Rainbow Blvd., Ms 1033, Kansas City, KS 66160 | 2016-05-05 |
| 1962765230 | Aparna Pendurthi | Psychiatry & Neurology | 3901 Rainbow Blvd, Mailstop 2012, Kansas City, KS 66160 | 2012-06-20 |
| 1073738084 | Hartej S. Sethi | Psychiatry & Neurology | 901 Sw Garfield Ave, Topeka, KS 66606-1670 | 2007-04-16 |
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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.