MARIA VILLAVICENCIO JIMENEZ (NPI# 1568089621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568089621 |
| Entity Type | Individual |
| Full Name | MARIA VILLAVICENCIO JIMENEZ |
| Practice Address |
1010 N Kansas St Ste 3023 Wichita KS 67214-3124 |
| Practice Telephone | 3162932665 |
| Mailing Telephone | 3162932665 |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 94-10379 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
1010 N KANSAS ST STE 3023 |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-3124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629568407 | Danielle Marie Jones | Psychiatry & Neurology | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2018-05-16 |
| 1992322051 | Julia Kononowicz | Pediatrics | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-07-06 |
| 1528685401 | Jessica Stephens | Family Medicine | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-06-26 |
| 1841816840 | Jordan Marshall | Internal Medicine | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-06-25 |
| 1346866357 | Jordan Smith | Family Medicine | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-06-25 |
| 1518583947 | Sidney Pearson | Family Medicine | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-06-22 |
| 1528684297 | Michael Falahat | Family Medicine | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-06-18 |
| 1083230734 | Samuel Bruna | Surgery | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-06-18 |
| 1376167668 | Mohamed Ibrahim | Internal Medicine | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-06-02 |
| 1487278701 | Brendan Mitchell | Orthopaedic Surgery | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-06-02 |
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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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| 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 |
| 1558454686 | Conrado M Agustin Jr. | Pediatrics | 162 N Hillside St, Wichita, KS 67214-4919 | 2006-10-02 |
| 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 |
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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.