WESLEY PATHOLOGY CONSULTANTS PA (NPI# 1770568263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770568263 |
| Entity Type | Organization |
| Organization Name | WESLEY PATHOLOGY CONSULTANTS PA |
| Practice Address |
550 N Hillside St Wichita KS 67214-4910 |
| Mailing Address |
Po Box 47340 Wichita KS 67201-7340 |
| Practice Telephone | 3166856112 |
| Mailing Telephone | 3166856112 |
| Mailing Fax Number | 3166520343 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DALE GRAHAM (ADMINISTRATOR) |
| Authorized Official Telephone | 3169622877 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS OF KANSAS | 016272 | 01 |
| KS | RAILROAD MEDICARE | CR0814 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WESLEY PATHOLOGY CONSULTANTS PA | 550 N Hillside, Wichita, KS 67214-4910 |
| Street Address |
550 N HILLSIDE ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-4910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770586570 | Debra D Hermes | Physician Assistant | 550 N Hillside St, Wichita, KS 67214-4910 | 2005-05-24 |
| 1255939161 | Sarah Elizabeth Hosp | Nurse Anesthetist, Certified Registered | 550 N Hillside St, Wichita, KS 67214-4910 | 2020-10-13 |
| 1962000273 | Forward Pathology Solutions Wichita, LLC | Pathology | 550 N Hillside St, Wichita, KS 67214-4910 | 2020-10-09 |
| 1073110326 | Amanda Marie Schraeger | Nurse Practitioner | 550 N Hillside St, Wichita, KS 67214-4910 | 2020-10-08 |
| 1942822655 | Katelynn Marie Doran | Pharmacist | 550 N Hillside St, Wichita, KS 67214-4976 | 2020-05-15 |
| 1316569072 | Christina Marie Brummett | Pharmacist | 550 N Hillside St, Wichita, KS 67214-4976 | 2020-05-15 |
| 1629610076 | Meghan Elizabeth Jorgensen | Pediatrics | 550 N Hillside St, Wichita, KS 67214-4910 | 2019-10-16 |
| 1215579883 | Taci Jo Wendler | Registered Nurse | 550 N Hillside St, Wichita, KS 67214-4910 | 2019-10-15 |
| 1023659190 | Julie Lu | Physician Assistant | 550 N Hillside St, Wichita, KS 67214-4910 | 2019-09-30 |
| 1669023131 | Brittany Elizabeth Roberts | Nurse Practitioner | 550 N Hillside St, Wichita, KS 67214-4910 | 2019-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548577752 | Charles T Hinshaw | Pathology | 3100 N Hillside St, Wichita, KS 67219-3904 | 2010-09-09 |
| 1861437618 | Elliot A Magidson | Pathology | 1947 Founders St, Wichita, KS 67206-3548 | 2006-06-17 |
| 1386624518 | Heartland Pathology Pa | Pathology | 9300 E 29th St N, Suite 208, Wichita, KS 67226-2182 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114995958 | Issara I. Ayuthia, Md | Pathology | 3001 Avenue A, Dodge City, KS 67801-6508 | 2006-03-09 |
| 1245202936 | Willard Wike Scamman | Pathology | 2715 Sw 29th St, Suite C, Topeka, KS 66614-2044 | 2006-02-06 |
| 1770834806 | Central Kansas Medical Center | Pathology | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2012-09-28 |
| 1942438478 | Sarah Thompson Mchugh | Pathology | University of Kansas Medical Ctr, 3901 Rainbow Blvd, Kansas City, KS 66160-0001 | 2009-06-23 |
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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.