Stephen G Grillot (NPI# 1083714380, PAC ID# 6002850716) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1083714380 |
| PAC ID by PECOS | 6002850716 |
| Professional Enrollment ID | I20050614000641 |
| Full Name | Stephen G Grillot |
| Organization Legal Name | M-CARE HEALTHCARE LLC |
| Address |
7130 W Maple St Suite 230 Wichita KS 67209-2101 |
| Phone Number | 3164610339 |
| Gender | M |
| Credential | MD |
| Medical School | THE UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 4880958974 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170017 | SUSAN B ALLEN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2710 W Central Ave, Sba Urgent Care Clinic, El Dorado, KS 67042-3285 | 3164525860 | SUSAN B ALLEN MEMORIAL HOSPITAL |
| 720 W Central Ave, Sba Med Group Occupational Medicine, El Dorado, KS 67042-2112 | 3163213300 | SUSAN B ALLEN MEMORIAL HOSPITAL |
| 7130 W Maple St, Suite 230, Wichita, KS 67209-2101 | 3164610339 | M-CARE HEALTHCARE LLC |
| Organization Legal Name | M-CARE HEALTHCARE LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vincent O Mogoi | Nurse Practitioner | M-care Healthcare LLC | 7130 W Maple St, Suite 230, Wichita, KS 67209-2101 |
| Street Address |
7130 W MAPLE ST SUITE 230 |
| City | WICHITA |
| State | KS |
| Zip | 67209-2101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert L Dopps | Chiropractic | 7130 W Maple St, Suite 200, Wichita, KS 67209-2101 | |
| Vincent O Mogoi | Nurse Practitioner | M-care Healthcare LLC | 7130 W Maple St, Suite 230, Wichita, KS 67209-2101 |
| John B Dopps | Chiropractic | 7130 W Maple St, Suite 200, Wichita, KS 67209-2101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Earl W Malone | Chiropractic | 211 S Tyler Rd, Wichita, KS 67209-1433 | |
| Corey Mae Belt | Chiropractic | Back To Basics--chiropractic and Acupuncture LLC | 1247 S Tyler Rd, Wichita, KS 67209-1830 |
| Devin J Vrana | Chiropractic | Back To Basics--chiropractic and Acupuncture LLC | 1247 S Tyler Rd, Wichita, KS 67209-1830 |
| Hali D Banda | Chiropractic | Back To Basics--chiropractic and Acupuncture LLC | 1247 S Tyler Rd, Wichita, KS 67209-1830 |
| Emily R Runyan | Nurse Practitioner | 520 S Holland St, Suite 403, Wichita, KS 67209-2060 | |
| Timothy R Wilbeck | Chiropractic | Associated Health Services Inc | 455 S Ridge Rd, Aca/wilbeck Chiropractic Clinic, Wichita, KS 67209-2231 |
| Joshua Jausel | Chiropractic | Sky City Family Chiropractic, LLC. | 6810 W Kellogg Dr, Wichita, KS 67209-2277 |
| Melissa R Keusler | Optometry | 6110 W Kellogg, Suite 1, Wichita, KS 67209-2350 | |
| Anne M Wingett | Physical Therapy | Arc Physical Therapy Plus Lp | 6803 W Taft Bldg 300, Suite 303, Wichita, KS 67209-2365 |
| Katie M Sinclair | Physical Medicine and Rehabilitation | Inpatient Consultants of Kansas Pa | 234 S Anna St, Premier Living By Warden, Wichita, KS 67209-2404 |
| Find all physicians in zip 67209 | |||
| City | WICHITA |
| Zip Code | 67209 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | WICHITA + EMERGENCY MEDICINE |
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| 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.