Timothy M Gronlie (NPI# 1720007404, PAC ID# 5991709263) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1720007404 |
| PAC ID by PECOS | 5991709263 |
| Professional Enrollment ID | I20060830000158 |
| Full Name | Timothy M Gronlie |
| Organization Legal Name | WICHITA RADIOLOGICAL GROUP PROF ASSOC |
| Address |
550 N Hillside St Wesley Medical Center Wichita KS 67214-4910 |
| Phone Number | 3166851367 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 6507762960 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170123 | WESLEY MEDICAL CENTER |
| 170150 | SOUTH CENTRAL KS MED CENTER |
| Address | Phone | Organization |
|---|---|---|
| 550 N Hillside St, Wesley Medical Center, Wichita, KS 67214-4910 | 3166851367 | WICHITA RADIOLOGICAL GROUP PROF ASSOC |
| 551 N Hillside St, 320 Wichita Radiological Group, Wichita, KS 67214-4926 | 3166851367 | WICHITA RADIOLOGICAL GROUP PROF ASSOC |
| 9300 E 29th St N, Wichita, KS 67226-2183 | WICHITA RADIOLOGICAL GROUP PROF ASSOC |
| Organization Legal Name | WICHITA RADIOLOGICAL GROUP PROF ASSOC |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Akash C Joshi | Diagnostic Radiology | Wichita Radiological Group Prof Assoc | 3232 E Murdock St, Cypress Womens Imaging, Wichita, KS 67208-3003 |
| Charles W Mcguire | Diagnostic Radiology | Wichita Radiological Group Prof Assoc | 7570 W 21st St Building 1050 D, Cypress Imaging Reflection Ridge, Wichita, KS 67205-1734 |
| Vincent J Paul | Diagnostic Radiology | Wichita Radiological Group Prof Assoc | 551 N Hillside St, 320 Wichita Radiological Group, Wichita, KS 67214-4926 |
| Kermit R Rust | Interventional Radiology | Wichita Radiological Group Prof Assoc | 551 N Hillside St, 320 Wichita Radiological Group, Wichita, KS 67214-4926 |
| Sierra S Ferguson | Physician Assistant | Wichita Radiological Group Prof Assoc | 550 N Hillside St, Wesley Medical Center, Wichita, KS 67214-4910 |
| Claudia A Lawn | Diagnostic Radiology | Wichita Radiological Group Prof Assoc | 551 N Hillside St, 320 Wichita Radiological Group, Wichita, KS 67214-4926 |
| John H Lohnes Jr. | Diagnostic Radiology | Wichita Radiological Group Prof Assoc | 10111 E 21st St N, 400 Cypress Womens Imaging, Wichita, KS 67206-3581 |
| Brent Cameron | Radiation Oncology | Wichita Radiological Group Prof Assoc | 551 N Hillside St, 320 Wichita Radiological Group, Wichita, KS 67214-4926 |
| David Brake | Diagnostic Radiology | Wichita Radiological Group Prof Assoc | 550 N Hillside St, Wesley Medical Center, Wichita, KS 67214-4910 |
| Bruce C Elson | Diagnostic Radiology | Wichita Radiological Group Prof Assoc | 551 N Hillside St, 320 Wichita Radiological Group, Wichita, KS 67214-4926 |
| Street Address |
550 N HILLSIDE ST WESLEY MEDICAL CENTER |
| City | WICHITA |
| State | KS |
| Zip | 67214-4910 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn W Brickman | Internal Medicine | Carepoint Hospital Medicine Kansas LLC | 550 N Hillside St, Wesley Medical Center, Wichita, KS 67214-4910 |
| Lawrence Liu | Pathology | Wesley Pathology Consultants, Pa | 550 N Hillside St, Wichita, KS 67214-4910 |
| Ellen E Borst | Family Medicine | Carepoint Hospital Medicine Kansas LLC | 550 N Hillside St, Wesley Medical Center, Wichita, KS 67214-4910 |
| Brendan J Mcdaniel | Emergency Medicine | Carepoint Emergency Medicine Kansas LLC | 550 N Hillside St, Wesley Medical Center, Wichita, KS 67214-4910 |
| Charese D Dakhil | Anesthesiology | Mid-continent Anesthesiology Chartered | 550 N Hillside St, Wichita, KS 67214-4910 |
| Ahmad Haris | Emergency Medicine | Carepoint Hospital Medicine Kansas LLC | 550 N Hillside St, Wesley Medical Center, Wichita, KS 67214-4910 |
| Todd Mckown | Nurse Practitioner | Carepoint Emergency Medicine Kansas LLC | 550 N Hillside St, Wesley Medical Center, Wichita, KS 67214-4910 |
| Gregory Gabriel Faimon | Emergency Medicine | Carepoint Emergency Medicine Kansas LLC | 550 N Hillside St, Wesley Medical Center, Wichita, KS 67214-4910 |
| Sierra S Ferguson | Physician Assistant | Wichita Radiological Group Prof Assoc | 550 N Hillside St, Wesley Medical Center, Wichita, KS 67214-4910 |
| Gilbert C Kisang | Internal Medicine | Carepoint Hospital Medicine Kansas LLC | 550 N Hillside St, Wesley Medical Center, Wichita, KS 67214-4910 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy D Smith | Nurse Practitioner | Wichita Nephrology Group, Pa | 818 N Emporia, Suite 310, Wichita, KS 67214 |
| Paul Maraj | Nephrology | Wichita Nephrology Group, Pa | 818 N Emporia, Suite 310, Wichita, KS 67214 |
| Hossein Amirani | Cardiovascular Disease (cardiology) | Wichita Nephrology Group, Pa | 818 N Emporia, Suite 310, Wichita, KS 67214 |
| Tiffany N Maat | Nurse Practitioner | Wichita Nephrology Group, Pa | 818 N Emporia, Suite 310, Wichita, KS 67214 |
| Amanda M Valliant | Nephrology | Wichita Nephrology Group, Pa | 818 N Emporia, Suite 310, Wichita, KS 67214 |
| Levi C Short | Nephrology | Wichita Nephrology Group, Pa | 818 N Emporia, Suite 310, Wichita, KS 67214 |
| Joseph N Meouchy | Nephrology | Wichita Nephrology Group, Pa | 818 N Emporia, Suite 310, Wichita, KS 67214 |
| Mohamad S Sandid | Nephrology | Wichita Nephrology Group, Pa | 818 N Emporia, Suite 310, Wichita, KS 67214 |
| Jennifer L Neel | Nurse Practitioner | Heartland Cardiology, LLC | 9300 E 29th St N, 310 Heartland Cardiology, Wichita, KS 67214-2160 |
| Rachel M Cheek | Nurse Practitioner | Healthcore Clinic Inc | 2707 E 21st St N, Wichita, KS 67214-2249 |
| Find all physicians in zip 67214 | |||
| City | WICHITA |
| Zip Code | 67214 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | WICHITA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Timothy M Gronlie.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.