DR. CONRADO M AGUSTIN JR.


Address: 162 N Hillside St, Wichita, KS 67214-4919
Phone: 3166855326

DR. CONRADO M AGUSTIN JR. (NPI# 1558454686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558454686
Entity Type Individual
Full Name DR. CONRADO M AGUSTIN JR.
Credential M.D.
Practice Address 162 N Hillside St
Wichita
KS 67214-4919
Practice Telephone 3166855326
Practice Fax Number 3166853017
Mailing Telephone 3166855326
Mailing Fax Number 3166853017
Enumeration Date 2006-10-02
Last Update Date 2008-05-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 04-30665 KS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KS 200261450-A 05

Other Providers CONRADO AGUSTIN

NPI Name Taxonomy Address Enumeration
1558468561 Conrado M Agustin Sr. Obstetrics & Gynecology 2707 E 21st St N, Wichita, KS 67214-2249 2006-09-20

Office Location

Street Address 162 N HILLSIDE ST
City WICHITA
State KS
Zip Code 67214-4919

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801155395 Health & Vitality LLC Physical Medicine & Rehabilitation 162 N Hillside St, Wichita, KS 67214-4919 2012-05-03
1902109119 Bell Family Therapy Marriage & Family Therapist 162 N Hillside St, Wichita, KS 67214-4919 2010-12-09

Providers in the same zip code

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 Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083239412 K S Pediatrics LLC Pediatrics 6505 E Central Ave Ste 183, Wichita, KS 67206-1924 2020-06-11
1184281131 Kansas Pediatric Neurology Center LLC Pediatrics 10111 E 21st St N Ste 405, Wichita, KS 67206-3508 2019-05-24
1407242241 Vigilias LLC Pediatrics 4704 E Oakland, Wichita, KS 67218-1180 2015-04-08
1639339344 Tuan Nguyen Pediatrics 10100 E Shannon Woods St Ste 108, Wichita, KS 67226-4104 2008-06-16
1659592582 Jamie Hannah Woo Page Pediatrics 8725 E 32nd St N, Wichita, KS 67226-4008 2007-05-01
1508907429 Lillian Rojo Blue Pediatrics 550 N Hillside St Bldg 16th, Ku Wichita Pediatrics, Wichita, KS 67214-4910 2007-02-12
1790718534 John G Dupuis Pediatrics 14700 W Saint Teresa St Ste 210, Wichita, KS 67235-9601 2006-07-07
1124063755 J Elizabeth Heflin Pediatrics 848 N Saint Francis St Ste 3901, Wichita, KS 67214 2006-06-18
1912950684 Arun G Kumar Pediatrics 162 N Hillside, Wichita, KS 67214 2006-05-17
1033173075 Nancy Gail Powers Pediatrics 509 N Lorraine St, Wichita, KS 67214-4836 2006-04-14
Find all providers in WICHITA

Competitor

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City WICHITA
Zip Code 67214

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Dataset Information

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.

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