MID-AMERICA ORTHOPEDICS LLC (NPI# 1811221252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811221252 |
| Entity Type | Organization |
| Organization Name | MID-AMERICA ORTHOPEDICS LLC |
| Practice Address |
12112 W Kellogg St Wichita KS 67235-1100 |
| Mailing Address |
1923 N Webb Rd Wichita KS 67206-3405 |
| Practice Telephone | 3164401100 |
| Practice Fax Number | 3164401089 |
| Mailing Telephone | 3166309300 |
| Mailing Fax Number | 3168583201 |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2010-06-11 |
| Authorized Official Name | DR. PAT DO (OWNER) |
| Authorized Official Telephone | 3162624886 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | MID-AMERICA ORHTOPEDICS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386961688 | Mid-america Orthopedics LLC | Durable Medical Equipment & Medical Supplies | 1824 E James St, Derby, KS 67037-8634 | 2010-04-26 |
| 1619201050 | Mid-america Orthopedics LLC | Durable Medical Equipment & Medical Supplies | 701 W Central Ave # 101, El Dorado, KS 67042-2117 | 2009-10-01 |
| 1679067565 | Mid-america Orthopedics LLC | Durable Medical Equipment & Medical Supplies | 308 E Central Ave, Andover, KS 67002 | 2018-06-14 |
| 1194059535 | Mid-america Orthopedics LLC | Durable Medical Equipment & Medical Supplies | 1923 N Webb Rd, Wichita, KS 67206-3405 | 2009-10-01 |
| 1659516029 | Mid-america Orthopedics LLC | Orthopaedic Surgery | 1923 N Webb Rd, Wichita, KS 67206-3405 | 2008-12-12 |
| Street Address |
12112 W KELLOGG ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67235-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962551051 | Christopher Todd Roy | Specialist/Technologist | 12112 W Kellogg St, Wichita, KS 67235-1100 | 2007-01-09 |
| 1417579905 | Levi Mcgee | Physical Therapist | 12112 W Kellogg St, Wichita, KS 67235-1100 | 2020-05-07 |
| 1750911392 | Michael Brian Harvey | Specialist/Technologist | 12112 W Kellogg St, Wichita, KS 67235-1100 | 2020-01-23 |
| 1154816320 | Joseph Lewis | Specialist/Technologist | 12112 W Kellogg St, Wichita, KS 67235-1100 | 2018-06-28 |
| 1649778440 | Rachel Jensen | Specialist/Technologist | 12112 W Kellogg St, Wichita, KS 67235-1100 | 2018-01-26 |
| 1114460755 | Tyler Lough | Specialist/Technologist | 12112 W Kellogg St, Wichita, KS 67235-1100 | 2016-11-30 |
| 1801200449 | Bryce Walter | Specialist/Technologist | 12112 W Kellogg St, Wichita, KS 67235-1100 | 2014-06-11 |
| 1861708356 | Lee Braeger | Physical Therapy Assistant | 12112 W Kellogg St, Wichita, KS 67235-1100 | 2010-08-23 |
| 1265747042 | Nicholas Biggs | Physical Therapy Assistant | 12112 W Kellogg St, Wichita, KS 67235-1100 | 2010-08-17 |
| 1396975207 | Jarvis Keith Odgers | Physical Therapist | 12112 W Kellogg St, Wichita, KS 67235-1100 | 2009-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275093205 | Kimberly Mcminn-rogers | Counselor | 1403 N Blackstone Ct, Wichita, KS 67235 | 2019-03-25 |
| 1609341882 | Kara Jean Steen | Rehabilitation Practitioner | 12112 W Kellogg Ave, Wichita, KS 67235 | 2018-10-03 |
| 1528339199 | Maria Boothe | Pharmacist | 13534 W Maple Street, Wichita, KS 67235 | 2012-01-13 |
| 1528009966 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 13415 W Maple St, Wichita, KS 67235 | 2006-06-09 |
| 1982916995 | Elizabeth Lynn Flax | Family Medicine | 13610 W Maple St, Wichita, KS 67235 | 2010-07-07 |
| 1003137316 | Scott Willis Wiggins | Dentist | 12105 Nantucket St, Wichita, KS 67235-1224 | 2010-06-21 |
| 1215300405 | Jada Heinze | Specialist/Technologist | 525 N Bay Country St, Wichita, KS 67235-1324 | 2015-11-10 |
| 1750728978 | Meridian Craig Faul | Midwife, Lay | 12131 Meribeau Ct, Wichita, KS 67235-1424 | 2013-05-29 |
| 1033111281 | Betty Kepler Skinner | Social Worker | 2135 N Sunridge St, Wichita, KS 67235-1503 | 2005-06-01 |
| 1700076296 | Betty K. Skinner, Lscsw, Inc. | Community/Behavioral Health | 2135 N Sunridge St, Wichita, KS 67235-1503 | 2007-07-31 |
| Find all providers in zip 67235 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285292995 | Titan Durable Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 1409 W 31st St S, Wichita, KS 67217-2503 | 2019-05-29 |
| 1942767447 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 9415 E Harry St Ste P1, Wichita, KS 67207-5089 | 2019-02-21 |
| 1508339078 | Great Plains Dme, LLC | Durable Medical Equipment & Medical Supplies | 926 W Harry St, Wichita, KS 67213-4109 | 2019-01-08 |
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1922515469 | Auburn Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 5318 W Central Ave, Wichita, KS 67212-2455 | 2018-01-05 |
| 1356860126 | Strive Medical LLC | Durable Medical Equipment & Medical Supplies | 727 N Waco Ave Ste 560, Wichita, KS 67203-3986 | 2017-09-13 |
| 1215474085 | Case Baldwin Healthcare Systems, Inc. | Durable Medical Equipment & Medical Supplies | 125 S West St Ste 121, Wichita, KS 67213-2114 | 2017-01-31 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1265829055 | Total Solutions Rx, Inc | Durable Medical Equipment & Medical Supplies | 217 S Pattie Ave, Wichita, KS 67211-1720 | 2015-04-20 |
| 1295123131 | St Jude Medical | Durable Medical Equipment & Medical Supplies | 1612 N Rocky Creek Rd, Wichita, KS 67230-1720 | 2014-12-30 |
| 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.