JOHN SHELLITO JR. (NPI# 1720019151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720019151 |
| Entity Type | Individual |
| Full Name | JOHN SHELLITO JR. |
| Credential | MD |
| Practice Address |
1947 Founders St Wichita KS 67206-3548 |
| Mailing Address |
Po Box 8035 Wichita KS 67208-0035 |
| Practice Telephone | 3166899124 |
| Practice Fax Number | 3166134608 |
| Mailing Telephone | 3166899135 |
| Mailing Fax Number | 3166899102 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2015-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 20502 | KS | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
20502 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS | 003429 | 01 |
| KS | 100147290C | 05 | |
| KS | PHS | 836 | 01 |
| KS | MULTIPLAN | 12149403 | 01 |
| KS | COVENTRY | 16923 | 01 |
| KS | HPK | 200152 | 01 |
| Street Address |
1947 FOUNDERS ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-3548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710964598 | Jane W Yourdon | Physical Therapist | 1947 Founders St, Wichita, KS 67206-3548 | 2005-12-22 |
| 1811168271 | Novacare Outpatient Rehabilitation Inc | Durable Medical Equipment & Medical Supplies | 1947 Founders St, Wichita, KS 67206-3548 | 2008-03-13 |
| 1659300150 | Richard A Desplinter | Plastic Surgery | 1947 Founders St, Wichita, KS 67206-3548 | 2006-06-30 |
| 1467481838 | George L Lucas | Orthopaedic Surgery | 1947 Founders St, Wichita, KS 67206-3548 | 2006-06-30 |
| 1609803071 | Beena M Reddy | Anesthesiology | 1947 Founders St, Wichita, KS 67206-3548 | 2006-06-28 |
| 1114954740 | Charles D Pence | Orthopaedic Surgery | 1947 Founders St, Wichita, KS 67206-3548 | 2006-06-27 |
| 1932135423 | E. Holmes Brinton | Surgery | 1947 Founders St, Wichita, KS 67206-3548 | 2006-06-25 |
| 1780610386 | Bruce R Buhr | Orthopaedic Surgery | 1947 Founders St, Wichita, KS 67206-3548 | 2006-06-24 |
| 1790720167 | Eldon K Sunderland | Otolaryngology | 1947 Founders St, Wichita, KS 67206-3548 | 2006-06-18 |
| 1215972724 | Randall S Regehr | Otolaryngology | 1947 Founders St, Wichita, KS 67206-3548 | 2006-06-18 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659717023 | Paige Harwell | Surgery | 818 N Emporia St Ste 303, Wichita, KS 67214 | 2013-05-13 |
| 1508108945 | Jarvis Wayne Walters | Surgery | 4013 N Ridge Rd Ste 210, Wichita, KS 67205-8860 | 2013-03-25 |
| 1609114842 | Frederic C Chang | Surgery | 35 E Via Roma St, Wichita, KS 67230-1602 | 2013-01-23 |
| 1760758791 | Sammy H. Kouri | Surgery | 619 N Armour Wichita, Wichita, KS 67206 | 2012-03-23 |
| 1215222542 | Rori Mankins | Surgery | 818 N Emporia St Ste 200, Wichita, KS 67214 | 2011-06-15 |
| 1710271549 | Mark Mankins | Surgery | 9350 E 35th St N Ste 103, Wichita, KS 67226-2022 | 2011-06-09 |
| 1306007430 | Andrew S Hentzen | Surgery | 3243 E Murdock St Ste 4404, Wichita, KS 67208-3052 | 2008-06-20 |
| 1609036326 | Thomas Robert Resch | Surgery | 818 N. Emporia, Suite 200, Wichita, KS 67214 | 2008-06-16 |
| 1972663946 | John Vincent Young Jr. | Surgery | 8106 E Champions St, Wichita, KS 67226-3324 | 2006-12-11 |
| 1700979473 | Hector O. Fernandez Sr. | Surgery | 1333 N. Broadway, Ste. A, Wichita, KS 67214 | 2006-10-02 |
| 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.