WICHITA FOOT AND ANKLE WOUND CENTER (NPI# 1750752960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750752960 |
| Entity Type | Organization |
| Organization Name | WICHITA FOOT AND ANKLE WOUND CENTER |
| Practice Address |
220 S Hillside St Ste B Wichita KS 67211-2151 |
| Mailing Address |
2522 N Graystone Cir Wichita KS 67228-8039 |
| Practice Telephone | 3167558004 |
| Practice Fax Number | 3166529913 |
| Mailing Telephone | 3167558004 |
| Mailing Fax Number | 3166529913 |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2016-08-16 |
| Authorized Official Name | CHRISTOPHER SURTMAN (OWNER) |
| Authorized Official Telephone | 3167558004 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Street Address |
220 S HILLSIDE ST STE B |
| City | WICHITA |
| State | KS |
| Zip Code | 67211-2151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162683 | Karlee Dawn Gluszek | Specialist/Technologist | 1947 S Lulu St, Wichita, KS 67211 | 2017-09-07 |
| 1780139659 | Jaclyn Blyholder | Dentist | 639 S. Hillside, Wichita, KS 67211 | 2016-08-22 |
| 1356715379 | Revitalize Physical Therapy LLC | Physical Therapist | 227 S Ida St, Wichita, KS 67211 | 2015-11-16 |
| 1750753232 | Accurate Sleep Lab | Clinical Medical Laboratory | 411 S Pattie St Suite 2, Wichita, KS 67211 | 2015-10-23 |
| 1841628013 | Joseph Michael Stech | Family Medicine | 940 S. St. Francis, Guadalupe Clinic, Wichita, KS 67211 | 2013-10-24 |
| 1902166648 | Debby Elwood | Counselor | 830 S. Hillside, Wichita, KS 67211 | 2012-05-28 |
| 1205038726 | Patricia (pat) J. Eagleman | Social Worker | 333 S. Greenwood, Wichita, KS 67211 | 2007-06-05 |
| 1114147717 | Rodolfo A Argosino Md Pa | Family Medicine | 1148 S Hillside, 106, Wichita, KS 67211 | 2007-04-26 |
| 1801911086 | Susan Wright Rockley | Physical Therapist | 2535 East Lincoln, Wichita, KS 67211 | 2007-03-20 |
| 1578618021 | Dependable Assisted Living | Home Health | 401 S Greenwood St, Wichita, KS 67211 | 2007-01-24 |
| Find all providers in zip 67211 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962859777 | David Sanchez | Podiatrist | 758 S Hillside St Ste 2, Wichita, KS 67211-3038 | 2016-05-21 |
| 1386844967 | Fornelli Feet Pa | Podiatrist | 7224 E Bainbridge Ct, Wichita, KS 67226-1140 | 2007-07-20 |
| 1073972170 | Leila Galbraith Mckenzie Dpm LLC | Podiatrist | 758 S Hillside St, Wichita, KS 67211-3020 | 2016-02-17 |
| 1114130747 | Jon Robert Morgan | Podiatrist | 12112 W Kellogg St, Suite 300, Wichita, KS 67235-1100 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861788275 | Thomas Lyman | Podiatrist | 1230 E 6th Ave Ste 2a, Winfield, KS 67156-3145 | 2011-06-23 |
| 1790965564 | Comprehensive Foot Centers P.a. | Podiatrist | 503 Olive St, Leavenworth, KS 66048-2651 | 2007-11-09 |
| 1194847947 | Ali R Davis | Podiatrist | 4601 W 109th St Ste 314, Overland Park, KS 66211 | 2007-04-04 |
| 1588765440 | Lawrence R. Gaston, Jr Dpm Pa | Podiatrist | 5100 Bob Billings Parkway, Suite 100, Lawrence, KS 66049-4094 | 2006-09-25 |
| 1770534299 | Dan Edward Robinson | Podiatrist | 4101 S 4th Trafficway, 112a, Leavenworth, KS 66048 | 2006-05-12 |
| 1154398527 | Smoky Valley Foot Center Pa | Podiatrist | 515 Ne 10th St, Abilene, KS 67410-2153 | 2006-03-03 |
| 1285616375 | Corin Q Wilde | Podiatrist | 407 E Centennial Dr, Pittsburg, KS 66762-6505 | 2005-11-15 |
| 1619976842 | Lawrence R Gaston Jr. | Podiatrist | 5615 Westfield Dr, Lawrence, KS 66049-3702 | 2005-07-19 |
| 1801437496 | William Newton Memorial Hospital | Podiatrist | 1230 E 6th Ave Ste 2a, Winfield, KS 67156-3145 | 2019-10-04 |
| 1861906372 | Foot Clinic, LLC | Podiatrist | 4601 W 109th St Ste 314, Overland Park, KS 66211-1315 | 2017-11-20 |
| Find all providers with the same taxonomy | ||||
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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.