G ANDREW MCNICKLE (NPI# 1972548733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972548733 |
| Entity Type | Individual |
| Full Name | G ANDREW MCNICKLE |
| Credential | MD |
| 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 | 2006-06-17 |
| Last Update Date | 2015-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 04-16812 | KS | Allopathic & Osteopathic Physicians |
| 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 |
| 1932500782 | Jill N Makuka | Physician Assistant | 1131 S Clifton Ave, Suite B, Wichita, KS 67218-2955 | 2014-09-11 |
| 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 |
| 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 | 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.