KANSAS KIDS HEART CENTER, PA (NPI# 1730402645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730402645 |
| Entity Type | Organization |
| Organization Name | KANSAS KIDS HEART CENTER, PA |
| Practice Address |
7015 E. Central Suite 2 Wichita KS 67206-1946 |
| Practice Telephone | 3164408800 |
| Practice Fax Number | 3164408802 |
| Mailing Telephone | 3164408800 |
| Mailing Fax Number | 3164408802 |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2013-05-21 |
| Authorized Official Name | DR. MOHAMAD K AL-AHDAB (PRESIDENT) |
| Authorized Official Telephone | 3164408800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
44567 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
04-32074 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | NPI | 1033133576 | 01 |
| KS | NPI | 1336172014 | 01 |
| Street Address |
7015 E. CENTRAL SUITE 2 |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-1946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336172014 | Mohamad Khaled Al-ahdab | Pediatrics | 7015 E. Central, Suite 2, Wichita, KS 67206-1946 | 2006-07-08 |
| 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 | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225203821 | Lalitha Devi Gopineti Lokanathudu | Pediatrics | 3243 E Murdock St Ste 201, Wichita, KS 67208-3005 | 2008-04-24 |
| 1336172014 | Mohamad Khaled Al-ahdab | Pediatrics | 7015 E. Central, Suite 2, Wichita, KS 67206-1946 | 2006-07-08 |
| 1841837788 | Arif Hussain | Pediatrics | 3243 E Murdock St, Wichita, KS 67208-3052 | 2019-12-10 |
| 1265913255 | Kidz Cardiology, Inc | Pediatrics | 10100 E Shannon Woods St Ste 108, Wichita, KS 67226-4104 | 2018-08-27 |
| 1548298771 | Steve W Allen | Pediatrics | 3311 E Murdock St, Wichita, KS 67208-3054 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508885096 | Valerie Ann Schroeder | Pediatrics | 3901 Rainbow Blvd Ms 4004, Kansas City, KS 66160-0001 | 2006-07-18 |
| 1003814856 | John Samuel Plowden Jr. | Pediatrics | 929 Sw Mulvane St, Topeka, KS 66606 | 2005-07-13 |
| 1972852119 | Joseph Ramon Casadonte | Pediatrics | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2012-09-04 |
| 1407813298 | James E. Hulse IIi | Pediatrics | 10500 Quivira Rd, Overland Park, KS 66215-2306 | 2006-04-27 |
| 1568458982 | Martin Plus O'laughlin | Pediatrics | 3901 Rainbow Boulevard, Kansas, KS 66160-0001 | 2005-09-21 |
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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.