PRO PHYSICIANS CLINIC PA (NPI# 1831501642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831501642 |
| Entity Type | Organization |
| Organization Name | PRO PHYSICIANS CLINIC PA |
| Practice Address |
2077 N Webb Rd Wichita KS 67206-3411 |
| Mailing Address |
Po Box 678234 Dallas TX 75267-8234 |
| Practice Telephone | 3168692280 |
| Practice Fax Number | 5125832001 |
| Mailing Telephone | 3168692280 |
| Mailing Fax Number | 5125832001 |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-07-11 |
| Authorized Official Name | JON D JON TRYGGESTAD (CEO) |
| Authorized Official Telephone | 9725734611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
0426447 | KS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467824649 | Pro Physicians Clinic Pa | Radiology | 450 N New Ballas Rd Ste 70w, Saint Louis, MO 63141-6833 | 2015-10-27 |
| 1033433420 | Pro Physicians Clinic Pa | Radiology | 7501 Lakeview Pkwy, Rowlett, TX 75088-9322 | 2010-03-15 |
| 1366681702 | Pro Physicians Clinic Pa | Radiology | 2800 E Highway 114, Suite 100, Trophy Club, TX 76262-5304 | 2009-02-09 |
| 1033358692 | Pro Physicians Clinic Pa | Radiology | 920 Santa Fe Dr, Weatherford, TX 76086-5864 | 2009-02-05 |
| 1609020031 | Pro Physicians Clinic Pa | Radiology | 800 W Magnolia Ave, Fort Worth, TX 76104-4611 | 2008-11-12 |
| Street Address |
2077 N WEBB RD |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-3411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356753164 | Northpoint Radiation Center Gp LLC | Clinic/Center | 2077 N Webb Rd, Wichita, KS 67206-3411 | 2014-05-28 |
| 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 | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851821136 | Wichita Rt Associates LLC | Radiology | 9300 E 29th St N Ste 350, Wichita, KS 67226-2179 | 2017-06-19 |
| 1811996440 | Barbara A Luder | Radiology | 9300 E 29th St North, Ste 350, Artesian Radiation Center@cypress, Wichita, KS 67226 | 2005-07-15 |
| 1497750525 | Jon C Anders | Radiology | 817 N Emporia St, Wichita, KS 67214-3709 | 2005-06-15 |
| 1316358492 | Salman Hasan | Radiology | 817 N Emporia St, Wichita, KS 67214 | 2014-05-12 |
| 1245579788 | Cypress Rt Associates LLC | Radiology | 9300 E 29th St N, Bldg 300 Ste 410, Wichita, KS 67226-2182 | 2013-02-04 |
| 1427213289 | Ellen Ware Cooke | Radiology | 550 N Hillside St, Wichita, KS 67214-4910 | 2008-07-22 |
| 1952368771 | Central Kansas Radiation Oncology, Pa | Radiology | 817 N Emporia St, Wichita, KS 67214-3709 | 2006-04-26 |
| 1033178108 | Donald C S Tan | Radiology | 817 N Emporia St, Via Christi Cancer Center, Wichita, KS 67214 | 2006-03-18 |
| 1679532741 | Angela Zhu | Radiology | 817 N Emporia St, Wichita, KS 67214-3709 | 2006-03-18 |
| 1124000435 | David Bryant | Radiology | 817 N Emporia St, Wichita, KS 67214-3709 | 2005-11-14 |
| 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.