DEE A SPADE (NPI# 1588609051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588609051 |
| Entity Type | Individual |
| Full Name | DEE A SPADE |
| Credential | DO |
| Practice Address |
3243 E Murdock St Suite 201 Wichita KS 67208-3052 |
| Practice Telephone | 3165008900 |
| Practice Fax Number | 3165008950 |
| Mailing Telephone | 3165008900 |
| Mailing Fax Number | 3165008950 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2014-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 27612 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | PHS | 11542 | 01 |
| KS | 100324690A | 05 | |
| KS | COVENTRY | 16995 | 01 |
| KS | BCBS | 054523 | 01 |
| KS | HPK | 100258 | 01 |
| Street Address |
3243 E MURDOCK ST SUITE 201 |
| City | WICHITA |
| State | KS |
| Zip Code | 67208-3052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033113576 | Jenny S Ecord | Nurse Practitioner | 3243 E Murdock St, Wichita, KS 67208-3052 | 2005-06-13 |
| 1841837788 | Arif Hussain | Pediatrics | 3243 E Murdock St, Wichita, KS 67208-3052 | 2019-12-10 |
| 1811324031 | Megan R Perry | Physician Assistant | 3243 E Murdock St, Suite 500, Wichita, KS 67208-3052 | 2013-10-02 |
| 1063765667 | Katrina Mary Doll | Nurse Practitioner | 3243 E Murdock St, Suite 404, Wichita, KS 67208-3052 | 2012-10-19 |
| 1255616074 | Brittany Leigh Schubert | Genetic Counselor, MS | 3243 E Murdock St, Suite 500, Wichita, KS 67208-3052 | 2011-10-12 |
| 1164710026 | Fadi Jamil Odeh Al Muhaisen | Pediatrics | 3243 E Murdock St, Wichita, KS 67208-3052 | 2011-07-13 |
| 1720309479 | Neurology Associates of Kansas LLC | Clinic/Center | 3243 E Murdock St, Suite 104, Wichita, KS 67208-3018 | 2010-06-17 |
| 1245568252 | Shobana Kubendran | Genetic Counselor, MS | 3243 E Murdock St, Suite 500, Wichita, KS 67208-3052 | 2009-12-02 |
| 1093945172 | Pooja Desai | Pediatrics | 3243 E Murdock St, Suite 500, Wichita, KS 67208-3052 | 2009-07-22 |
| 1386819738 | Iram Sirajuddin | Pediatrics | 3243 E Murdock St, Suite #500, Wichita, KS 67208-3052 | 2008-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316218 | Wesley Urgent Care, LLC | Clinic/Center | 2060 N. Mid Campus Dr., Wichita, KS 67208 | 2019-09-24 |
| 1023574209 | Unified Care Homes, Inc. | Custodial Care Facility | 5705 E Rockhill, Wichita, KS 67208 | 2019-02-13 |
| 1164940730 | Donita Hock | Occupational Therapy Assistant | 622 N. Edgemoor St., Wichita, KS 67208 | 2017-09-05 |
| 1427439546 | Mental Health Association of Sck | Community/Behavioral Health | 555 N Woodlawn, S 3105, Wichita, KS 67208 | 2015-06-15 |
| 1013311430 | Adrian Matta | Occupational Therapy Assistant | 1915 Farmstead Street, Wichita, KS 67208 | 2014-10-14 |
| 1700285343 | Stephanie Kendrick | Physical Therapist | 4921 E. 21st Street North, Wichita, KS 67208 | 2014-08-20 |
| 1689087942 | Apeksha Sathyaprasad | Pediatrics | 3243 E Murdock St Ste 402, Wichita, KS 67208 | 2014-06-04 |
| 1437418019 | J. W, Leisy M.d.p.a. | Psychiatry & Neurology | 3310 East Douglas #101, Wichita, KS 67208 | 2012-05-16 |
| 1184993156 | College Hill-ltc LLC | Skilled Nursing Facility | 5005 East 21st Street North, Wichita, KS 67208 | 2011-12-21 |
| 1255616132 | Thane M Vaneaton | Pharmacist | 3333 East Central, Wichita, KS 67208 | 2011-10-11 |
| Find all providers in zip 67208 | ||||
| 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 |
| 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.