DR. JOHN MARTIN LASAK (NPI# 1710989082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710989082 |
| Entity Type | Individual |
| Full Name | DR. JOHN MARTIN LASAK |
| Credential | M.D. |
| Practice Address |
9350 E Central Ave Wichita KS 67206-2555 |
| Mailing Address |
Po Box 25943 Oklahoma City OK 73125-0943 |
| Practice Telephone | 3166866608 |
| Practice Fax Number | 3166863624 |
| Mailing Telephone | 3166866608 |
| Mailing Fax Number | 3166863624 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
04-29030 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | CHAMPUS | 48118525067206A003 | 01 |
| KS | BLUE CROSS | 100888 | 01 |
| KS | FIRSTGAURD | 412510 | 01 |
| KS | PHS-PPK | 9633 | 01 |
| Street Address |
9350 E CENTRAL AVE |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-2555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164700282 | Carly Jean Sturm | Audiologist | 9350 E Central Ave, Wichita, KS 67206-2555 | 2011-07-22 |
| 1679869747 | Melanie D Rhorer | Audiologist | 9350 E Central Ave, Wichita, KS 67206-2555 | 2011-06-27 |
| 1083925143 | Melissa Klein | Audiologist | 9350 E Central Ave, Wichita, KS 67206-2555 | 2010-06-23 |
| 1265666572 | Katherine M Kryzer | Speech-Language Pathologist | 9350 E Central Ave, Wichita, KS 67206-2555 | 2009-05-14 |
| 1992943799 | Brandy Nicole Ashley | Audiologist | 9350 E Central Ave, Wichita, KS 67206-2555 | 2009-02-02 |
| 1851554018 | Carmen Marie Schulte | Audiologist | 9350 E Central Ave, Wichita, KS 67206-2555 | 2008-07-08 |
| 1730353988 | Jeffrey D Moore | Audiologist | 9350 E Central Ave, Wichita, KS 67206-2555 | 2008-04-18 |
| 1942493119 | Ashley Jeanne Beck | Audiologist | 9350 E Central Ave, Wichita, KS 67206-2555 | 2007-08-21 |
| 1669592960 | Tanya Brooks | Physician Assistant | 9350 E Central Ave, Wichita, KS 67206-2555 | 2007-03-30 |
| 1518932011 | Wichita Ear Clinic, Pa | Otolaryngology | 9350 E Central Ave, Wichita, KS 67206-2555 | 2006-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
| 1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
| 1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
| 1750804597 | Katelyn Aguiar | Psychologist | 250 N Rock Rd Ste 210, Wichita, KS 67206 | 2017-07-24 |
| 1457888778 | Mona Kay Cherryholmes | Social Worker | 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 | 2017-05-17 |
| 1164899415 | Elizabeth Herl | Marriage & Family Therapist | 250 N Rock Rd Ste 150, Wichita, KS 67206 | 2015-08-21 |
| 1851715510 | Ndjj Corp | Custodial Care Facility | 6403 E Marjore, Wichita, KS 67206 | 2014-02-14 |
| 1801238217 | Courtney Ann Lang | Physical Therapist | 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 | 2013-07-26 |
| 1194063032 | Peak Performance Health Pa | Chiropractor | 10111 E 21st St, #106, Wichita, KS 67206 | 2013-01-28 |
| 1750629002 | Rachel Marie Conrad | Speech-Language Pathologist | 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 | 2013-01-22 |
| Find all providers in zip 67206 | ||||
| Taxonomy Code | 207YX0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otology & Neurotology |
| An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518932011 | Wichita Ear Clinic, Pa | Otolaryngology | 9350 E Central Ave, Wichita, KS 67206-2555 | 2006-02-20 |
| 1194727453 | Thomas C Kryzer Jr. | Otolaryngology | 9350 E Central Ave, Wichita, KS 67206-2555 | 2005-06-01 |
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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.