MICHAEL PAGE (NPI# 1790121804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790121804 |
| Entity Type | Individual |
| Full Name | MICHAEL PAGE |
| Credential | MD |
| Practice Address |
1010 N Kansas St Wichita KS 67214-3124 |
| Practice Telephone | 3162932665 |
| Mailing Telephone | 3162932665 |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2016-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 9408115 | KS | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
04-38168 | KS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326197955 | Michael Page | Dentist | 2358 Genoa Business Park Dr, Brighton, MI 48114-7366 | 2007-01-10 |
| 1699855536 | Michael Dee Page II | Chiropractor | 4400 N Hemingway Dr, # 255, Oklahoma City, OK 73118-2241 | 2006-10-16 |
| 1154314532 | Michael D Page | Chiropractor | 14810 E 42nd St S, Suite 100, Independence, MO 64055-4775 | 2005-08-31 |
| 1760014583 | Michael J Page | Social Worker | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2020-02-10 |
| 1508321365 | Michael Lawrence Page | Counselor | 1855 W Katella Ave Ste 150, Orange, CA 92867-3432 | 2019-02-06 |
| 1316411960 | Michael Alan Page | Pharmacist | 5090 Foothills Blvd, Roseville, CA 95747-6517 | 2019-01-16 |
| 1578927208 | Michael Stephen Page | Emergency Medicine | 155 N Fresno St, Fresno, CA 93701-2302 | 2016-04-08 |
| 1710275581 | Michael Stephen Page | Dentist | 107 E Locust St, River Falls, WI 54022-2419 | 2011-07-14 |
| 1144491523 | Michael Allen Page | Ophthalmology | 1955 Nw Northrup St, Portland, OR 97209-1614 | 2008-03-13 |
| 1043422942 | Michael Gregory Page | Dentist | 2824 Ne Wasco St, Suite 230, Portland, OR 97232-1772 | 2007-05-04 |
| Street Address |
1010 N KANSAS ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-3124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770557894 | Brenda A Issa | Pediatrics | 1010 N Kansas St, Wichita, KS 67214-3124 | 2006-02-15 |
| 1144845736 | Daniel Yassa | Pediatrics | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-10 |
| 1912522780 | Zachary Donoviel | Orthopaedic Surgery | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-08 |
| 1205451085 | David Masolak | Psychiatry & Neurology | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-08 |
| 1891310678 | Beau Fry | Family Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-08 |
| 1861016834 | Abhiram Challa | Internal Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-04 |
| 1598389611 | Garrett Westman | Family Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-04 |
| 1174147318 | Garrett Walker | Family Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-03 |
| 1003430331 | Javanthi Theegala | Psychiatry & Neurology | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-02 |
| 1932722394 | Nicholas Tuck | Internal Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-05-20 |
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| 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 |
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| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952662793 | Paul Cleland | Family Medicine | 707 N Emporia St, Wichita, KS 67214-3707 | 2012-06-07 |
| 1962729467 | Kyle Goerl | Family Medicine | 707 N Emporia St, Wichita, KS 67214-3707 | 2010-04-23 |
| 1346306313 | Kara Dawn Cox | Family Medicine | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2006-12-28 |
| 1528063518 | Richard H Leu | Family Medicine | 707 N Emporia St, Wichita, KS 67214-3707 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275828535 | Peter L Loo | Family Medicine | 1101 Sw 29th St, Topeka, KS 66611-1200 | 2011-06-15 |
| 1225336597 | Primary Care Plus of Leawood LLC | Family Medicine | 4900 W 135th St, Suite 190a, Leawood, KS 66224-8900 | 2011-03-10 |
| 1174608111 | Jonathan David Schultz | Family Medicine | 12200 W 106th St Ste 400, Overland Park, KS 66215-2305 | 2006-10-26 |
| 1508956301 | Lawrence M Magee | Family Medicine | Allen Fieldhouse, 1651 Naismith Dr., Lawrence, KS 66045-0001 | 2006-10-13 |
| 1265090666 | Herington Municipal Hospital | Family Medicine | 108 S Main St, Hillsboro, KS 67063-1526 | 2019-05-31 |
| 1649781709 | Lawrence Physicians LLC | Family Medicine | 1112 W 6th St Ste 124, Lawrence, KS 66044-2249 | 2017-10-17 |
| 1811437890 | Tabor College | Family Medicine | 400 S Jefferson St, Hillsboro, KS 67063-1753 | 2017-02-24 |
| 1043624349 | Emily Nicole Heronemus | Family Medicine | 6265 Rock Chalk Dr, Suite 1500, Lawrence, KS 66049 | 2014-06-13 |
| 1508150830 | Thomas Phillips Jr. | Family Medicine | 7450 W Frontage Rd, Merriam, KS 66203-4670 | 2011-06-03 |
| 1467750232 | Sports Med Plus of Leawood LLC | Family Medicine | 4800 W 135th St, Suite 190b, Leawood, KS 66224-8720 | 2011-03-03 |
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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.