WHEATLAND MEDICAL CLINIC PA (NPI# 1891749024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891749024 |
| Entity Type | Organization |
| Organization Name | WHEATLAND MEDICAL CLINIC PA |
| Practice Address |
5735 W Macarthur Rd Wichita KS 67215-8404 |
| Practice Telephone | 3165249400 |
| Practice Fax Number | 3165249800 |
| Mailing Telephone | 3165249400 |
| Mailing Fax Number | 3165249800 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2010-03-23 |
| Authorized Official Name | DIANA K KETTERMAN (PRESIDENT) |
| Authorized Official Telephone | 3165249400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BC/BS | 110692 | 01 |
| Street Address |
5735 W MACARTHUR RD |
| City | WICHITA |
| State | KS |
| Zip Code | 67215-8404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023071867 | Mueeza Zafar | Family Medicine | 5735 W Macarthur Rd, Wichita, KS 67215-8404 | 2006-04-11 |
| 1821247990 | Patricia R. Ringer | Nurse Practitioner | 5735 W Macarthur Rd, Wichita, KS 67215-8404 | 2008-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295903250 | Fasttrack Physical Therapy and Sports Rehabilitation | Clinic/Center | 2290 N Tyler Rd #300, Wichita, KS 67215 | 2008-02-13 |
| 1023492410 | Tracy Staley | Nurse Practitioner | 1 Cessna Blvd, Wichita, KS 67215 | 2015-07-15 |
| 1033243795 | Laurie Ebenkamp | Physical Therapist | 1 Cessna Blvd, Wichita, KS 67215-1400 | 2007-03-15 |
| 1518453182 | Anita Sauerwein Davis | Registered Nurse | 1 Cessna Blvd, Wichita, KS 67215-1400 | 2018-07-07 |
| 1467995480 | Penny Gilbert | Specialist/Technologist | 1 Cessna Blvd, Health Services, Wichita, KS 67215-1400 | 2016-11-22 |
| 1386841948 | Kiersten Dawn Camp | Nurse Practitioner | 1 Cessna Blvd, Wichita, KS 67215-1400 | 2007-06-28 |
| 1275732349 | Kimberly Baldwin | Speech-Language Pathologist | 2619 S Yellowstone Ct, Wichita, KS 67215-1507 | 2007-07-17 |
| 1194147405 | Reniece Shook | Registered Nurse | 10406 W Greenfield St, Wichita, KS 67215-1655 | 2014-01-07 |
| 1619297207 | Paula Southern Kramer | Social Worker | 3931 S Eisenhower Ct, Wichita, KS 67215-1763 | 2010-06-04 |
| 1609222983 | Bethany Fenlason | Doula | 6311 W 35th Ct S, Wichita, KS 67215-1830 | 2016-05-05 |
| Find all providers in zip 67215 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370892 | River City Osteopathic Clinic | Family Medicine | 401 E 1st St, Wichita, KS 67202-2501 | 2020-09-14 |
| 1477108603 | Laurie Irene Haury | Family Medicine | 818 N Emporia St Ste 107, Wichita, KS 67214-3725 | 2019-08-05 |
| 1437546173 | Nguyen Family Medicine LLC | Family Medicine | 1431 S Bluffview Dr Ste 212, Wichita, KS 67218-3039 | 2015-04-21 |
| 1427447853 | Safia Lyon | Family Medicine | 12115 E 21st St N Ste 107, Wichita, KS 67206-3571 | 2015-01-22 |
| 1841628013 | Joseph Michael Stech | Family Medicine | 940 S. St. Francis, Guadalupe Clinic, Wichita, KS 67211 | 2013-10-24 |
| 1134496193 | Wichita Pain Associates Pa | Family Medicine | 2548 N Maize Ct, Suite 104, Wichita, KS 67205-7347 | 2011-11-18 |
| 1831485317 | Nicholas Andrew Tomsen | Family Medicine | 1126 S Clifton Ave, Wichita, KS 67218-2913 | 2011-06-23 |
| 1538454905 | Michael C Scheve | Family Medicine | 2135 N Ridge Rd Ste 400, Wichita, KS 67212-1404 | 2011-06-14 |
| 1124347083 | Joshua Tibbe | Family Medicine | 5000 S Clifton Ave, Ste 200, Wichita, KS 67216-3408 | 2010-05-18 |
| 1912233594 | Amity Health, LLC | Family Medicine | 7200 W 13th St N Ste 5, Wichita, KS 67212-2968 | 2009-11-02 |
| 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.