SAMUEL W AMSTUTZ (NPI# 1659346245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659346245 |
Entity Type | Individual |
Full Name | SAMUEL W AMSTUTZ |
Credential | MD |
Practice Address |
655 N Woodlawn Wichita KS 67208 |
Mailing Address |
1851 N Webb Rd Attn Flr2 Wichita KS 67206-3413 |
Practice Telephone | 3166845158 |
Practice Fax Number | 3166811005 |
Mailing Telephone | 3166362010 |
Mailing Fax Number | 3168583830 |
Enumeration Date | 2006-02-17 |
Last Update Date | 2018-01-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207W00000X | Ophthalmology | 0421085 | KS | Allopathic & Osteopathic Physicians |
Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
04-21085 | KS | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | 100184750A | 05 | |
KS | RAIL ROAD MEDICARE GROUP | CD2825 | 01 |
KS | RAILROAD MEDICARE | 180024700 | 01 |
Street Address |
655 N WOODLAWN |
City | WICHITA |
State | KS |
Zip Code | 67208 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437475902 | Alan R Hromas | Ophthalmology | 655 N Woodlawn, Wichita, KS 67208 | 2010-04-08 |
1639381494 | Grene Vision Group LLC | Ophthalmology | 655 N Woodlawn, Wichita, KS 67208 | 2007-05-04 |
1922167303 | David M Chacko | Ophthalmology | 655 N Woodlawn, Wichita, KS 67208 | 2006-12-08 |
1982671707 | Steven A Kuhl | Optometrist | 655 N Woodlawn, Wichita, KS 67208 | 2006-03-01 |
1093781320 | C Eric Shrader | Ophthalmology | 655 N Woodlawn, Wichita, KS 67208 | 2006-02-27 |
1023083409 | Dasa V Gangadhar | Ophthalmology | 655 N Woodlawn, Wichita, KS 67206 | 2006-02-21 |
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 | 207WX0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
Specialization | Ophthalmic Plastic and Reconstructive Surgery |
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891328720 | Selena Fu, Md, LLC | Ophthalmology | 10500 Quivira Rd, Overland Park, KS 66215-2306 | 2020-02-19 |
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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.