MEKLIT ZETAWOS (NPI# 1528305372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528305372 |
| Entity Type | Individual |
| Full Name | MEKLIT ZETAWOS |
| Credential | P.A. |
| Practice Address |
551 N Hillside St Ste. 410 Wichita KS 67214-4923 |
| Practice Telephone | 3166865300 |
| Practice Fax Number | 3166512660 |
| Mailing Telephone | 3166865300 |
| Mailing Fax Number | 3166512660 |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2013-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1501207 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | DEA | MA1899282 | 01 |
| Street Address |
551 N HILLSIDE ST STE. 410 |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-4923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913490 | Akash C. Joshi | Radiology | 551 N Hillside St, Ste 320, Wichita, KS 67214-4926 | 2005-06-22 |
| 1861857310 | Rachel L Stiger | Nurse Practitioner | 551 N Hillside St, Suite 410, Wichita, KS 67214-4923 | 2015-12-29 |
| 1134503840 | Heartland Cardiology, LLC | Internal Medicine | 551 N Hillside St, Suite 410, Wichita, KS 67214-4923 | 2015-07-13 |
| 1598148066 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 551 N Hillside St, Suite 510, Wichita, KS 67214-4923 | 2015-07-02 |
| 1154703197 | Wichita Radiological Group Prof Assoc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 551 N Hillside St, Suite 320, Wichita, KS 67214-4923 | 2015-06-26 |
| 1417336280 | Michelle L Cortese | Physical Therapist | 551 N Hillside St, Suite 510, Wichita, KS 67214-4923 | 2015-05-26 |
| 1063813418 | Amy Sharp | Nurse Practitioner | 551 N Hillside St, Suite #410, Wichita, KS 67214-4923 | 2014-09-04 |
| 1538585831 | Kansas Sleep Medicine, LLC | Durable Medical Equipment & Medical Supplies | 551 N Hillside St, Ste 320, Wichita, KS 67214-4923 | 2014-03-11 |
| 1609292168 | Erica Combs | Nurse Practitioner | 551 N Hillside St, Suite 410, Wichita, KS 67214-4923 | 2014-03-07 |
| 1437587664 | Lab One LLC | Clinical Medical Laboratory | 551 N Hillside St, Ste 510, Wichita, KS 67214-4928 | 2013-10-25 |
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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 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871116582 | Alia Porter | Physician Assistant | 115 N Terrace Dr, Wichita, KS 67208-3941 | 2020-05-28 |
| 1881217594 | Taylor Nicole Wondra | Physician Assistant | 1845 N Woodrow Ct, Wichita, KS 67203-2959 | 2020-05-28 |
| 1497378087 | Haley Nicole Northcutt | Physician Assistant | 10107 W Jamesburg St, Wichita, KS 67212-6743 | 2020-05-18 |
| 1649892357 | Mong Trinh Thi Hoang | Physician Assistant | 1933 N Wellington Pl, Wichita, KS 67203-2558 | 2020-05-15 |
| 1609434000 | Branden Tang | Physician Assistant | 10112 E Clark St, Wichita, KS 67207-7747 | 2019-05-31 |
| 1184093379 | Evan C Ohlman | Physician Assistant | 3009 N Cypress, Wichita, KS 67226-4003 | 2015-09-18 |
| 1629388079 | Sara A Hildreth | Physician Assistant | 9415 E Harry St Ste 202, Wichita, KS 67207-5076 | 2010-10-19 |
| 1477700235 | Heather S Bloomer | Physician Assistant | 2465 N Woodridge Ct, Wichita, KS 67226-8208 | 2008-08-25 |
| 1205030145 | William Paul Wondra | Physician Assistant | 141 W Elm St, Sedgwick County Detention Facility, Wichita, KS 67203-3848 | 2007-06-13 |
| 1194888602 | Vicki L Gromala | Physician Assistant | 1861 N. Road Road, Suite 105, Wichita, KS 67206-1264 | 2006-12-18 |
| Find all providers in WICHITA | ||||
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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.