JILL N MAKUKA (NPI# 1932500782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932500782 |
| Entity Type | Individual |
| Full Name | JILL N MAKUKA |
| Credential | PA |
| Practice Address |
1131 S Clifton Ave Suite B Wichita KS 67218-2955 |
| Practice Telephone | 3164621040 |
| Practice Fax Number | 3164621042 |
| Mailing Telephone | 3164621040 |
| Mailing Fax Number | 3164621042 |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2017-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1131 S CLIFTON AVE SUITE B |
| City | WICHITA |
| State | KS |
| Zip Code | 67218-2955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063416048 | Robert Lamar Eyster | Orthopaedic Surgery | 1131 S Clifton Ave, Wichita, KS 67218-2955 | 2005-06-08 |
| 1023476694 | Kevin L Brown | Nurse Practitioner | 1131 S Clifton Ave, Suite B, Wichita, KS 67218-2955 | 2016-02-10 |
| 1275973455 | Sonya L. Bradford-varner | Nurse Practitioner | 1131 S Clifton Ave, Wichita, KS 67218-2955 | 2013-07-02 |
| 1255679809 | Mary Brost | Nurse Practitioner | 1131 S Clifton Ave, Suite B, Wichita, KS 67218-2955 | 2013-01-16 |
| 1891044376 | Stephanie April Collins | Nurse Practitioner | 1131 S Clifton Ave, Suite B, Wichita, KS 67218-2955 | 2012-08-30 |
| 1275893224 | Gracemed Health Clinic, Inc | Clinic/Center | 1131 S Clifton Ave, Wichita, KS 67218-2955 | 2012-05-24 |
| 1871872804 | Lisa Marie Farrell | Nurse Practitioner | 1131 S Clifton Ave, Wichita, KS 67218-2955 | 2011-08-08 |
| 1083918643 | Elizabeth Evans | Nurse Practitioner | 1131 S Clifton Ave, Wichita, KS 67218-2955 | 2010-12-22 |
| 1245551035 | Erika J Burke | Family Medicine | 1131 S Clifton Ave, Wichita, KS 67218-2955 | 2010-06-16 |
| 1316179849 | Daniel Reimer | Family Medicine | 1131 S Clifton Ave, Wichita, KS 67218-2955 | 2009-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544392 | Diana Ho | Optometrist | 980 Oliver Street, Wichita, KS 67218 | 2020-07-03 |
| 1134773690 | Lily Lopez | Nurse's Aide | 5107 E Kellogg Drive, Wichita, KS 67218 | 2019-08-01 |
| 1750862512 | Kelsi Wenger | Student in an Organized Health Care Education/Training Program | 5500 E Kellog Dr, Wichita, KS 67218 | 2018-08-28 |
| 1770038937 | Hair Replacement Clinic | Specialist | 1815 S Windsor, Wichita, KS 67218 | 2016-08-17 |
| 1457757346 | South Wind Women's Centter, LLC | Clinic/Center | 5701 E Kellogg Drive, Wichita, KS 67218 | 2014-11-05 |
| 1124460787 | Teri Kitchen | Social Worker | 3414 Kinkaid, Wichita, KS 67218 | 2013-07-24 |
| 1053660142 | Glenda Rodgers-lawless, Ph.d., Lcpc, Pa | Community/Behavioral Health | 4601 E Douglas, Wichita, KS 67218 | 2012-09-05 |
| 1649541848 | Stephen Rhinehart | Registered Nurse | 5500 E Kellogg Dr., Wichita, KS 67218 | 2012-01-19 |
| 1457666927 | Recovery Services Council Inc. | Point of Service | 1611 South Rutan, Wichita, KS 67218 | 2010-08-09 |
| 1043535867 | Melissa A Weinley | Respiratory Therapist, Registered | 5500 East Kellog Dr, Wichita, KS 67218 | 2010-04-05 |
| Find all providers in zip 67218 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871116582 | Alia Porter | Physician Assistant | 115 N Terrace Dr, Wichita, KS 67208-3941 | 2020-05-28 |
| 1881217594 | Taylor Nicole Wondra | Physician Assistant | 1845 N Woodrow Ct, Wichita, KS 67203-2959 | 2020-05-28 |
| 1497378087 | Haley Nicole Northcutt | Physician Assistant | 10107 W Jamesburg St, Wichita, KS 67212-6743 | 2020-05-18 |
| 1649892357 | Mong Trinh Thi Hoang | Physician Assistant | 1933 N Wellington Pl, Wichita, KS 67203-2558 | 2020-05-15 |
| 1609434000 | Branden Tang | Physician Assistant | 10112 E Clark St, Wichita, KS 67207-7747 | 2019-05-31 |
| 1184093379 | Evan C Ohlman | Physician Assistant | 3009 N Cypress, Wichita, KS 67226-4003 | 2015-09-18 |
| 1629388079 | Sara A Hildreth | Physician Assistant | 9415 E Harry St Ste 202, Wichita, KS 67207-5076 | 2010-10-19 |
| 1477700235 | Heather S Bloomer | Physician Assistant | 2465 N Woodridge Ct, Wichita, KS 67226-8208 | 2008-08-25 |
| 1205030145 | William Paul Wondra | Physician Assistant | 141 W Elm St, Sedgwick County Detention Facility, Wichita, KS 67203-3848 | 2007-06-13 |
| 1194888602 | Vicki L Gromala | Physician Assistant | 1861 N. Road Road, Suite 105, Wichita, KS 67206-1264 | 2006-12-18 |
| 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.