AMBER WAVES NEUROLOGY, CHARTERED (NPI# 1851351605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851351605 |
| Entity Type | Organization |
| Organization Name | AMBER WAVES NEUROLOGY, CHARTERED |
| Practice Address |
520 S Santa Fe Ave Suite 300 Salina KS 67401-4190 |
| Mailing Address |
Po Box 1121 Salina KS 67402-1121 |
| Practice Telephone | 7853090012 |
| Mailing Telephone | 7853090012 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2008-02-15 |
| Authorized Official Name | TRENT W DAVIS (NEUROLOGIST) |
| Authorized Official Telephone | 7853090012 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
0428008 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | RAILROAD MEDICARE | P00154557 | 01 |
| Street Address |
520 S SANTA FE AVE SUITE 300 |
| City | SALINA |
| State | KS |
| Zip Code | 67401-4190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659379113 | Christopher M Brown | Family Medicine | 520 S Santa Fe Ave, Suite 480, Salina, KS 67401-4190 | 2005-07-08 |
| 1801310941 | Eric Michael Jusko | Specialist/Technologist | 520 S Santa Fe Ave, Salina, KS 67401-4190 | 2017-07-31 |
| 1033664388 | Stacia Brenneman | Physical Therapist | 520 S Santa Fe Ave, Salina, KS 67401-4190 | 2016-08-16 |
| 1326437690 | Renee K Riedel | Dietitian, Registered | 520 S Santa Fe Ave, Suite 300, Salina, KS 67401-4190 | 2015-01-09 |
| 1376931196 | Stephanie Ravenstien | Nurse Anesthetist, Certified Registered | 520 S Santa Fe Ave, #520, Salina, KS 67401-4190 | 2014-12-31 |
| 1699182402 | Justin Jurgens | Registered Nurse | 520 S Santa Fe Ave, Salina, KS 67401-4190 | 2014-07-14 |
| 1184041204 | Shannon Mawyin | Nurse Anesthetist, Certified Registered | 520 S Santa Fe Ave, 260, Salina, KS 67401-4190 | 2014-03-26 |
| 1477897155 | Thomas K Wilson Dmd LLC | Dentist | 520 S Santa Fe Ave, 240, Salina, KS 67401-4190 | 2012-11-19 |
| 1396099057 | Aubrey Jordan Fetherston | Physician Assistant | 520 S Santa Fe Ave, Suite 300, Salina, KS 67401 | 2012-11-02 |
| 1003164716 | Ashley Dinkel Westerman | Nurse Anesthetist, Certified Registered | 520 S Santa Fe Ave, Suite 260, Salina, KS 67401-4190 | 2012-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757285 | Hannah Heckerson | Counselor | 809 Elmhurst Blvd., Salina, KS 67401 | 2020-07-16 |
| 1942835525 | Kristen Rangel | Behavioral Analyst | 1710 W Schilling Road, Salina, KS 67401 | 2020-03-04 |
| 1063044485 | Summar Anthony | Registered Nurse | 400 S. Sante Fe Ave, Salina, KS 67401 | 2020-02-05 |
| 1821637398 | Kari Anne Nunn | Nurse Anesthetist, Certified Registered | Anesthesia Associates of Central Kansas, P.a., 200 S. 5th St, Salina, KS 67401 | 2020-01-02 |
| 1780157982 | Clear Horizon Therapy Inc | Clinic/Center | 625 E. Crawford Street Suite 209d, Salina, KS 67401 | 2019-01-10 |
| 1790273472 | Sadie E Schnetzler | Nurse Practitioner | 520 S. Santa Fe Ave, Suite 240, Salina, KS 67401 | 2018-04-27 |
| 1932607629 | Oasis Counseling Services LLC | Community/Behavioral Health | 917 E Prescott Rd, Suite 100a, Salina, KS 67401 | 2018-01-26 |
| 1194255661 | Gabriel Keith Harr | Dentist | 1941 S. Ohio St, Salina, KS 67401 | 2017-06-15 |
| 1275068611 | Tammy Michelle Fox | Counselor | 1805 S. Ohio Street, Salina, KS 67401 | 2017-04-24 |
| 1629500285 | Nathaniel Elliott | Physician Assistant | 1001 S. Ohio St, Salina, KS 67401 | 2017-03-31 |
| Find all providers in zip 67401 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578184321 | Midwest Neurology Consultants, LLC | Psychiatry & Neurology | 5715 N Streckfus Trl, Salina, KS 67401-1769 | 2020-05-04 |
| 1386056083 | Douglas Ray Davis | Psychiatry & Neurology | 501 S Santa Fe, Suite 300, Neurology Department, Salina, KS 67401 | 2014-05-29 |
| 1922006592 | Anwarul Bashar Siddiqui | Psychiatry & Neurology | 807 E. Prescott Ave, Salina, KS 67401-7412 | 2005-07-08 |
| 1972571750 | Trent W Davis | Psychiatry & Neurology | 501 S Santa Fe Ave, Suite 210, Salina, KS 67401-4189 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124446406 | Amanda Jean Thuringer | Psychiatry & Neurology | Kansas University Medical Center Department, 3599 Rainbow Blvd., Mailstop 2012, Kansas City, KS 66160-0001 | 2014-04-02 |
| 1437411725 | Phaedra M. Dowell | Psychiatry & Neurology | 12140 Nall Ave Ste 230, Overland Park, KS 66209-2507 | 2012-06-12 |
| 1235413196 | Harsh Vardhan Gupta | Psychiatry & Neurology | 10777 Nall Ave Ste 200, Overland Park, KS 66211-1357 | 2011-10-10 |
| 1659688646 | Rawan Albadareen | Psychiatry & Neurology | 3901 Rainbow Blvd # 1033, Kumc, Kansas City, KS 66160-2741 | 2010-09-12 |
| 1780998658 | Rajesh Kumar Sadasivuni | Psychiatry & Neurology | 3243 E Murdock St Ste 104, Wichita, KS 67208-3018 | 2010-08-03 |
| 1689791196 | Michael George Abraham | Psychiatry & Neurology | 3901 Rainbow Blvd Dpt of Neurology, Kansas City, KS 66160 | 2007-03-22 |
| 1003916651 | William J Nowack | Psychiatry & Neurology | 12417 Howe Dr, Leawood, KS 66209 | 2006-09-24 |
| 1982707071 | Sathyashankar Subbanna | Psychiatry & Neurology | 1133 College Ave Bldg B, #224, Manhattan, KS 66502-2770 | 2006-09-06 |
| 1932144573 | Mazen M Dimachkie | Psychiatry & Neurology | 3599 Rainbow Blvd # Ms 2012, Kansas City, KS 66103-2078 | 2006-06-18 |
| 1295770154 | Fernando M Egea | Psychiatry & Neurology | 6405 Metcalf Ave, 508, Overland Park, KS 66202-3927 | 2006-06-17 |
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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.