WEST WICHITA MEDICAL CLINIC PA (NPI# 1871827139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871827139 |
| Entity Type | Organization |
| Organization Name | WEST WICHITA MEDICAL CLINIC PA |
| Practice Address |
1144 N Saint Francis St Wichita KS 67214-2814 |
| Mailing Address |
766 Plantation St Maize KS 67101-9587 |
| Practice Telephone | 3162670159 |
| Practice Fax Number | 3162678599 |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2009-09-18 |
| Authorized Official Name | DR. RAUL ALVAREZ (PHYSICIAN OWNER) |
| Authorized Official Telephone | 3166175245 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
1144 N SAINT FRANCIS ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-2814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811979644 | Suleman Sadiq | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1144 N Saint Francis St, Wichita, KS 67214-2814 | 2005-11-17 |
| 1831402486 | Vanessa Mclure | Nurse Practitioner | 1144 N Saint Francis St, Wichita, KS 67214-2814 | 2010-07-23 |
| 1750539201 | Pronab K Sensarma Md Pa | Internal Medicine | 1144 N Saint Francis St, Wichita, KS 67214-2814 | 2008-09-08 |
| 1720264534 | Kansas Cardiac Nuclear Imaging Pa | Internal Medicine | 1144 N Saint Francis St, Wichita, KS 67214-2814 | 2008-01-11 |
| 1831310119 | Eleven-twelve Company | Internal Medicine | 1144 N Saint Francis St, Wichita, KS 67214-2814 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932635612 | Harmony Medical Clinic | Clinic/Center | 2290 N Tyler Rd Ste 300, Wichita, KS 67205-8760 | 2017-05-02 |
| 1285902676 | Insight Counseling Center, Inc. | Clinic/Center | 4618 E Central Ave Ste 30, Wichita, KS 67208-3956 | 2011-12-13 |
| 1043473192 | Tallgrass Family Medicine, LLC | Clinic/Center | 8100 E 22nd St N Ste 2200-2, Wichita, KS 67226-2322 | 2008-07-09 |
| 1477692051 | Via Christi Immediate Care, Mother Mary Anne Inc. | Clinic/Center | 1152 S. Clifton, Wichita, KS 67218-2913 | 2007-02-06 |
| 1528124435 | Wheeler Chiropractic & Acupuncture Clinic, LLC | Clinic/Center | 1125 S Rock Rd Ste 7, Wichita, KS 67207-3300 | 2006-12-28 |
| 1427512573 | Wichita Vascular and Vein Center, LLC | Clinic/Center | 3161 N Webb Rd, Suite 110, Wichita, KS 67226 | 2019-01-23 |
| 1326561747 | M and P Health, LLC | Clinic/Center | 8100 E 22nd St N Ste 2200-2, Wichita, KS 67226-2322 | 2017-07-18 |
| 1154708782 | Wichita Endocrinology, LLC | Clinic/Center | 1515 S Clifton Ave, Suite 103, Wichita, KS 67218-2900 | 2015-05-04 |
| 1164836391 | Carolyn Lefevre | Clinic/Center | 707 N Emporia St, Wichita, KS 67214-3707 | 2014-06-16 |
| 1063853059 | Auburn Hills Chiropractic and Rehabilitation LLC | Clinic/Center | 13605 W Maple St, Suite 105, Wichita, KS 67235-8759 | 2013-07-08 |
| Find all providers in WICHITA | ||||
Please comment or provide details below to improve the information on WEST WICHITA MEDICAL CLINIC PA.
| 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.