MR. PAUL L RODRIGUEZ (NPI# 1841209236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841209236 |
Entity Type | Individual |
Full Name | MR. PAUL L RODRIGUEZ |
Credential | MD |
Practice Address |
4713 N Portwest Cir Wichita KS 67204-2356 |
Practice Telephone | 3167295517 |
Practice Fax Number | 3167295655 |
Mailing Telephone | 3167295517 |
Enumeration Date | 2006-08-05 |
Last Update Date | 2016-01-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME90262 | FL | Allopathic & Osteopathic Physicians |
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
10166 | OK | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | 04-14664 | KS | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | BCBS IND OF KS 000105163 | BCBS OF KS | 01 |
OK | 100206250B | 05 | |
OK | RR MEDICARE # | P00272804 | 01 |
OK | AETNA | 7016639 | 01 |
OK | MEDICARE | 248522505 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841897428 | Paul Rodriguez | Massage Therapist | 3040 Lake Shore Dr Apt 302, Riviera Beach, FL 33404-4630 | 2020-10-06 |
1396226080 | Paul Andrew Rodriguez | Home Health Aide | 7710 W Ih 10 # West, San Antonio, TX 78230-4711 | 2018-08-22 |
1366559775 | Paul R Rodriguez | Dentist | 703 N Tejon St, Suite D, Colorado Springs, CO 80903-1094 | 2006-08-23 |
1629057914 | Paul A. Rodriguez | Anesthesiology | 1821 Ne 25th Street, Suite 100, Lighthouse Point, FL 33064 | 2006-01-13 |
1861981904 | Paul M. Rodriguez | Peer Specialist | 1420 Green Acres Rd, Eugene, OR 97408-1791 | 2018-05-03 |
1467950840 | Paul Rodriguez | Licensed Practical Nurse | 105 W Griggs Ave, Las Cruces, NM 88001-1235 | 2018-01-31 |
1821234642 | Paul Michael Rodriguez | Occupational Therapist | 1991 Saul Kleinfeld Dr, El Paso, TX 79936-3757 | 2008-12-29 |
1447431853 | Paul Rodriguez | Counselor | 1801 Vicente St, San Francisco, CA 94116-2923 | 2007-11-14 |
1790709996 | Paul Nicholas Rodriguez | Urology | 245 Cherry St Se, Suite 202, Grand Rapids, MI 49503-4607 | 2006-07-27 |
1477559292 | Paul A Rodriguez | Radiology | 715 N Saint Joseph Ave, Hastings, NE 68901-4451 | 2005-06-27 |
Street Address |
4713 N PORTWEST CIR |
City | WICHITA |
State | KS |
Zip Code | 67204-2356 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073666236 | National Imaging, Ltd | Radiology | 4713 N Portwest Cir, Wichita, KS 67204-2356 | 2007-01-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952570657 | Wal-mart Store, Inc. | Eyewear Supplier (Equipment, not the service) | 5475 N. Meridian, Wichita, KS 67204 | 2008-02-27 |
1992907141 | Diane Jeanette Casey | Physical Therapist | 2812 W 61 St N, Rehab & Consulting Pa, Wichita, KS 67204 | 2007-06-01 |
1477534030 | Yvonne Lara Saunders-teigeler | Family Medicine | 3443 North Amidon Avenue, Wichita, KS 67204 | 2005-11-10 |
1487836110 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 5475 N Meridian Ave, Wichita, KS 67204-1620 | 2007-12-05 |
1083152540 | Ray Tejeda | Pharmacist | 5475 N Meridian Ave, Wichita, KS 67204-1620 | 2017-02-05 |
1265989305 | Sanjiv Patel | Pharmacist | 5475 N Meridian Ave, Wichita, KS 67204-1620 | 2016-09-07 |
1962618041 | Laquita Riley | Physical Therapist | 5701 N Sedgwick St, Wichita, KS 67204-1831 | 2007-05-15 |
1417276791 | House Call Medical Services | Nurse Practitioner | 5721 N Athenian Ave, Wichita, KS 67204-1844 | 2010-05-25 |
1710008495 | Home Care Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 703 W 53rd St N, Wichita, KS 67204-2237 | 2007-04-02 |
1962903906 | Nalini Fraser | Pharmacist | 2806 W Driftwood Cir, Wichita, KS 67204-2340 | 2018-02-26 |
Find all providers in zip 67204 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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 Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205335551 | Elias O Bernard | Radiology | 6505 E Central Ave Ste 208, Wichita, KS 67206-1924 | 2018-02-01 |
1760627616 | Gdx, P.a. | Radiology | 6120 Shadybrook St, Wichita, KS 67208-1862 | 2008-12-06 |
1609940675 | Wayne Mason | Radiology | 701 N Preston Trl, Wichita, KS 67230-1525 | 2006-11-20 |
1629162326 | Great Plains Imaging, LLC | Radiology | 8925 W Maple St, Wichita, KS 67209-1462 | 2006-10-03 |
1376507590 | Line Diagnostics Inc | Radiology | 630 S Hillside St, Wichita, KS 67211-2157 | 2006-04-14 |
1225034614 | Claudia A Lawn | Radiology | 144 S Hillside St, Wichita, KS 67211-2154 | 2005-06-22 |
1013913490 | Akash C. Joshi | Radiology | 551 N Hillside St, Ste 320, Wichita, KS 67214-4926 | 2005-06-22 |
1790321479 | Anthony Francis Harrison | Radiology | 929 N Saint Francis Ave, Wichita, KS 67214-3821 | 2019-11-18 |
1255894580 | Jimmy Rong | Radiology | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2019-04-12 |
1750843157 | Kyle A Kirkover | Radiology | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2019-04-03 |
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.