FLINT HILLS HEART VASCULAR AND VEIN CLINIC, LLC (NPI# 1760820492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760820492 |
| Entity Type | Organization |
| Organization Name | FLINT HILLS HEART VASCULAR AND VEIN CLINIC, LLC |
| Practice Address |
3905 Vanesta Drive Manhattan KS 66503-2001 |
| Practice Telephone | 4197941006 |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |
| Authorized Official Name | RAYMOND DATTILO (OWNER) |
| Authorized Official Telephone | 7854786849 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians |
| Street Address |
3905 VANESTA DRIVE |
| City | MANHATTAN |
| State | KS |
| Zip Code | 66503-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023325552 | Jason Michael Harader | Audiologist | 4201 Anderson Avenue, Bldg. C, Manhattan, KS 66503 | 2010-09-03 |
| 1447576582 | Urban Studios LLC | Prosthetic/Orthotic Supplier | 820 Commons Place, Manhattan, KS 66503 | 2010-04-14 |
| 1013163211 | Majdy Ali A. Albahhar | Dermatology | 4201 B Anderson Avenue, Suite 2, Manhattan, KS 66503 | 2008-08-07 |
| 1972783405 | Erin Nichole Mellies | Counselor | 222 Southwind Pl, Manhattan, KS 66503 | 2007-11-13 |
| 1912067695 | Stoneybrook Nursing Facility Operations, LLC | Skilled Nursing Facility | 2025 Little Kitten Ave, Manhattan, KS 66503 | 2006-12-11 |
| 1144249145 | Ellen Odette Remsing | Dental Assistant | 4201 A Anderson Avenue, Manhattan, KS 66503 | 2006-07-19 |
| 1659332195 | Charles Louis Klobasa | Psychiatry & Neurology | 225 Southwind Place, Manhattan, KS 66503 | 2006-03-31 |
| 1346233657 | Frank C Lyons Jr. | Legal Medicine | 4809 Vue Du Loc, Suite 101, Manhattan, KS 66503 | 2005-08-23 |
| 1932102381 | Tiffany Nicole Engelken | Nurse Practitioner | 4201 Anderson Ave Ste B2, Manhattan, KS 66503 | 2005-05-31 |
| 1750826632 | Rachel Marie Irwin | Behavior Technician | 1133 College Ave, A213, Manhattan, KS 66503 | 2016-12-30 |
| Find all providers in zip 66503 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497952998 | Priyantha S. Ranaweera | Internal Medicine | 200 Research Dr, Manhattan, KS 66503-3049 | 2007-06-28 |
| 1710942685 | William Freund | Internal Medicine | 1823 College Avenue, Manhattan, KS 66502 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669845111 | Smalling Vascular Institute, LLC | Internal Medicine | 11025 Metcalf Ave, Overland Park, KS 66210-1815 | 2015-11-05 |
| 1316217110 | G. Whitney Reader Md Pa | Internal Medicine | 8110 E 32nd St N Suite 170, Wichita, KS 67226 | 2012-01-10 |
| 1528055670 | Elaine M Demetroulis | Internal Medicine | 1130 W 4th St Ste 2050, Lawrence, KS 66044 | 2005-10-04 |
| 1669470340 | Muhammad Akmal Khan | Internal Medicine | 100 W Ross Blvd Ste 2b, Dodge City, KS 67801-7217 | 2005-07-07 |
| 1821608118 | St. Catherine Hospital | Internal Medicine | 401 E Spruce St, Garden City, KS 67846-5679 | 2020-08-03 |
| 1871056374 | Patrick Ters, Md, Pa | Internal Medicine | 9350 E 35th St N Ste 101, Wichita, KS 67226-2022 | 2019-04-11 |
| 1073074126 | Cks Care of Ks, LLC | Internal Medicine | 10650 Roe Ave, Overland Park, KS 66207-3907 | 2019-03-29 |
| 1659810133 | Newman Memorial County Hospital | Internal Medicine | 1201 W 12th Ave, Emporia, KS 66801-2504 | 2017-02-17 |
| 1588119747 | Miacare Medical Services, LLC | Internal Medicine | 3161 N Rock Rd, Suite A, Wichita, KS 67226-1452 | 2016-08-17 |
| 1801141767 | Patrick Ters | Internal Medicine | 9350 E 35th St N Ste 101, Wichita, KS 67226-2022 | 2012-07-17 |
| 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.