DR. KECK R HARTMAN (NPI# 1912902685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912902685 |
| Entity Type | Individual |
| Full Name | DR. KECK R HARTMAN |
| Credential | MD |
| Practice Address |
1100 N Saint Francis St Ste 130 Wichita KS 67214-2865 |
| Practice Telephone | 3162643505 |
| Practice Fax Number | 3162640908 |
| Mailing Telephone | 3162643505 |
| Mailing Fax Number | 3162640908 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2014-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
0422023 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100205930A | 05 |
| Street Address |
1100 N SAINT FRANCIS ST STE 130 |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-2865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851181 | Thomas A. Moore | Internal Medicine | 1100 N Saint Francis St, Suite 130, Wichita, KS 67214-2878 | 2005-06-17 |
| 1669889978 | Infectious Disease Consultants, P.a. | Pharmacy | 1100 N Saint Francis St, Suite 150, Wichita, KS 67214-2878 | 2014-07-18 |
| 1356764591 | Whitney Erin Loganbill | Physician Assistant | 1100 N Saint Francis St, Suite 130, Wichita, KS 67214-2878 | 2014-01-23 |
| 1013344613 | Jennie P Le | Nurse Practitioner | 1100 N Saint Francis St, Suite 130, Wichita, KS 67214-2878 | 2013-09-27 |
| 1093079394 | Monica M Wellemeyer | Physician Assistant | 1100 N Saint Francis St, Suite 130, Wichita, KS 67214-2878 | 2012-07-02 |
| 1053674515 | Jane Kamuren | Internal Medicine | 1100 N Saint Francis St, Wichita, KS 67214-2878 | 2012-06-20 |
| 1326353350 | Amanda J Blackmore | Physician Assistant | 1100 N Saint Francis St, Ste 130, Wichita, KS 67214-2878 | 2010-08-14 |
| 1326365503 | Preferred Medical Associates | Family Medicine | 1100 N Saint Francis St, 4th Floor, Wichita, KS 67214-2878 | 2010-04-27 |
| 1770805442 | Infectious Disease Consultants P.a | Internal Medicine | 1100 N Saint Francis St, Suite 130, Wichita, KS 67214-2878 | 2010-02-23 |
| 1043442445 | Matthew A Swanson | Physician Assistant | 1100 N Saint Francis St, Ste 130, Wichita, KS 67214-2878 | 2009-08-18 |
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| 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 |
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| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851181 | Thomas A. Moore | Internal Medicine | 1100 N Saint Francis St, Suite 130, Wichita, KS 67214-2878 | 2005-06-17 |
| 1770805442 | Infectious Disease Consultants P.a | Internal Medicine | 1100 N Saint Francis St, Suite 130, Wichita, KS 67214-2878 | 2010-02-23 |
| 1417993304 | Wichita Infectious Disease, P.a. | Internal Medicine | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2006-06-21 |
| 1770531691 | Lawrence L Pelletier | Internal Medicine | 5500 E Kellogg Dr, Primary Care- Robert J Dole Vamc, Wichita, KS 67218-1607 | 2006-05-04 |
| 1922071224 | Maha A Assi | Internal Medicine | 1100 N Saint Francis St, Ste 130, Wichita, KS 67214-2878 | 2006-02-08 |
| 1598752800 | Shelley Denise Jones | Internal Medicine | 1100 N Saint Francis St, Suite 130, Wichita, KS 67214-2878 | 2005-10-02 |
| 1306830641 | Infectious Disease Consultants, P.a. | Internal Medicine | 1100 N Saint Francis St, Suite 130, Wichita, KS 67214-2878 | 2005-09-01 |
| 1023014305 | Jerry D Peterie | Internal Medicine | 1100 N Saint Francis St, Ste 130, Wichita, KS 67214-2865 | 2005-06-22 |
| 1952306615 | Hewitt C Goodpasture | Internal Medicine | 1100 N Saint Francis St, Ste 130, Wichita, KS 67214-2865 | 2005-06-17 |
| 1114922887 | Margaret E Hagan | Internal Medicine | 1100 N Saint Francis St, Ste 130, Wichita, KS 67214-2865 | 2005-06-17 |
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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.