FORWARD PATHOLOGY SOLUTIONS WICHITA, LLC (NPI# 1962000273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962000273 |
Entity Type | Organization |
Organization Name | FORWARD PATHOLOGY SOLUTIONS WICHITA, LLC |
Practice Address |
550 N Hillside St Wichita KS 67214-4910 |
Mailing Address |
2000 Heath Park Dr Brentwood TN 37070 |
Practice Telephone | 6153092078 |
Enumeration Date | 2020-10-09 |
Last Update Date | 2020-10-09 |
Authorized Official Name | MR. WILLIAM SMITHAM (CONTINENTAL DIVISION CFO) |
Authorized Official Telephone | 3035848207 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
Street Address |
550 N HILLSIDE ST |
City | WICHITA |
State | KS |
Zip Code | 67214-4910 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770586570 | Debra D Hermes | Physician Assistant | 550 N Hillside St, Wichita, KS 67214-4910 | 2005-05-24 |
1255939161 | Sarah Elizabeth Hosp | Nurse Anesthetist, Certified Registered | 550 N Hillside St, Wichita, KS 67214-4910 | 2020-10-13 |
1073110326 | Amanda Marie Schraeger | Nurse Practitioner | 550 N Hillside St, Wichita, KS 67214-4910 | 2020-10-08 |
1942822655 | Katelynn Marie Doran | Pharmacist | 550 N Hillside St, Wichita, KS 67214-4976 | 2020-05-15 |
1316569072 | Christina Marie Brummett | Pharmacist | 550 N Hillside St, Wichita, KS 67214-4976 | 2020-05-15 |
1629610076 | Meghan Elizabeth Jorgensen | Pediatrics | 550 N Hillside St, Wichita, KS 67214-4910 | 2019-10-16 |
1215579883 | Taci Jo Wendler | Registered Nurse | 550 N Hillside St, Wichita, KS 67214-4910 | 2019-10-15 |
1023659190 | Julie Lu | Physician Assistant | 550 N Hillside St, Wichita, KS 67214-4910 | 2019-09-30 |
1669023131 | Brittany Elizabeth Roberts | Nurse Practitioner | 550 N Hillside St, Wichita, KS 67214-4910 | 2019-09-25 |
1528610342 | Jessica Erbst | Dietitian, Registered | 550 N Hillside St, Wichita, KS 67214-4910 | 2019-07-11 |
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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 | 207ZP0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Anatomic Pathology & Clinical Pathology |
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629121686 | Joel W Alderson | Pathology | 959 N St Francis, Wichita, KS 67214-3821 | 2007-01-20 |
1295769057 | Fangyuan Fred Zhang | Pathology | 9300 E 29th St N Ste 208, Wichita, KS 67226-2183 | 2006-07-10 |
1366407215 | Pamela D Pierce | Pathology | 929 N St Frances, Wichita, KS 67214-3821 | 2006-04-20 |
1942696497 | Erik Dill | Pathology | 3600 E Harry St, Wichita, KS 67218-3713 | 2015-04-11 |
1215203039 | Daniel Ngoc Dang | Pathology | 3600 E Harry St, Wichita, KS 67218-3713 | 2012-03-26 |
1376869651 | Lidia S Manouilova | Pathology | 929 N St Francis, Wichita, KS 67214-3821 | 2010-04-12 |
1639315930 | Dwight Kahala Oxley IIi | Pathology | 550 N. Hillside, Pathology Department, Wichita, KS 67214-4910 | 2008-12-17 |
1730348624 | Christopher M. Fox | Pathology | 5500 E Kellogg Dr, Room 122a-34, Wichita, KS 67218-1607 | 2008-06-05 |
1245422963 | Kristin Therese Galan | Pathology | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2007-08-16 |
1851595854 | Faye C Giangiacomo | Pathology | 929 N St Francis, Wichita, KS 67214-3821 | 2007-06-13 |
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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.