JOHN L KREADY (NPI# 1801826458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801826458 |
| Entity Type | Individual |
| Full Name | JOHN L KREADY |
| Credential | MD |
| Practice Address |
9211 E 21st St N Wichita KS 67206-2968 |
| Mailing Address |
Po Box 8035 Wichita KS 67208-0035 |
| Practice Telephone | 3166094511 |
| Practice Fax Number | 3166364076 |
| Mailing Telephone | 3166899135 |
| Mailing Fax Number | 3166899102 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 18736 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | MULTIPLAN | 12149369 | 01 |
| KS | PHS | 502 | 01 |
| KS | BCBS | 024372 | 01 |
| KS | COVENTRY | 16851 | 01 |
| KS | HPK | 100356 | 01 |
| Street Address |
9211 E 21ST ST N |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-2968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982679528 | Deborah S Love | Nurse Practitioner | 9211 E 21st St N, Wichita, KS 67206-2968 | 2006-02-17 |
| 1710531033 | Kelvin Tran | Pharmacist | 9211 E 21st St N, Wichita, KS 67206-2900 | 2019-07-25 |
| 1639737398 | Kayla Marie Jensen | Physician Assistant | 9211 E 21st St N, Wichita, KS 67206-2900 | 2019-05-29 |
| 1154814184 | Ashley Renee Graf | Family Medicine | 9211 E 21st St N, Wichita, KS 67206 | 2018-06-13 |
| 1699265462 | Melissa Corinne Norton | Pharmacist | 9211 E 21st St N, Wichita, KS 67206-2900 | 2018-05-16 |
| 1649728254 | Kelsey Barnickle | Nurse Practitioner | 9211 E 21st St N, Wichita, KS 67206-2900 | 2016-09-13 |
| 1184088031 | Jessica Rose Yammine | Nurse Practitioner | 9211 E 21st St N, Wichita, KS 67206-2900 | 2016-04-07 |
| 1861838245 | Vu Thu Nguyen | Family Medicine | 9211 E 21st St N, Wichita, KS 67206-2900 | 2013-05-13 |
| 1336414457 | Jana Jo Robinson | Nurse Practitioner | 9211 E 21st St N, Wichita, KS 67206-2900 | 2012-03-22 |
| 1558642876 | Valerie Ann Albin | Physician Assistant | 9211 E 21st St N, Wichita, KS 67206-2900 | 2011-08-31 |
| Find all providers in the same location | ||||
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370892 | River City Osteopathic Clinic | Family Medicine | 401 E 1st St, Wichita, KS 67202-2501 | 2020-09-14 |
| 1477108603 | Laurie Irene Haury | Family Medicine | 818 N Emporia St Ste 107, Wichita, KS 67214-3725 | 2019-08-05 |
| 1437546173 | Nguyen Family Medicine LLC | Family Medicine | 1431 S Bluffview Dr Ste 212, Wichita, KS 67218-3039 | 2015-04-21 |
| 1427447853 | Safia Lyon | Family Medicine | 12115 E 21st St N Ste 107, Wichita, KS 67206-3571 | 2015-01-22 |
| 1841628013 | Joseph Michael Stech | Family Medicine | 940 S. St. Francis, Guadalupe Clinic, Wichita, KS 67211 | 2013-10-24 |
| 1134496193 | Wichita Pain Associates Pa | Family Medicine | 2548 N Maize Ct, Suite 104, Wichita, KS 67205-7347 | 2011-11-18 |
| 1831485317 | Nicholas Andrew Tomsen | Family Medicine | 1126 S Clifton Ave, Wichita, KS 67218-2913 | 2011-06-23 |
| 1538454905 | Michael C Scheve | Family Medicine | 2135 N Ridge Rd Ste 400, Wichita, KS 67212-1404 | 2011-06-14 |
| 1124347083 | Joshua Tibbe | Family Medicine | 5000 S Clifton Ave, Ste 200, Wichita, KS 67216-3408 | 2010-05-18 |
| 1912233594 | Amity Health, LLC | Family Medicine | 7200 W 13th St N Ste 5, Wichita, KS 67212-2968 | 2009-11-02 |
| Find all providers in WICHITA | ||||
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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.