Levi C Short (NPI# 1790198448, PAC ID# 6305062050) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1790198448 |
| PAC ID by PECOS | 6305062050 |
| Professional Enrollment ID | I20190701000869 |
| Full Name | Levi C Short |
| Organization Legal Name | WICHITA NEPHROLOGY GROUP, PA |
| Address |
818 N Emporia Suite 310 Wichita KS 67214 |
| Phone Number | 3162635891 |
| Gender | M |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 3375596174 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170122 | VIA CHRISTI HOSPITAL-WICHITA |
| 170123 | WESLEY MEDICAL CENTER |
| 170197 | KANSAS MEDICAL CENTER LLC |
| 170040 | UNIVERSITY OF KANSAS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 818 N Emporia, Suite 310, Wichita, KS 67214 | 3162635891 | WICHITA NEPHROLOGY GROUP, PA |
| Organization Legal Name | WICHITA NEPHROLOGY GROUP, PA |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy D Smith | Nurse Practitioner | Wichita Nephrology Group, Pa | 818 N Emporia, Suite 310, Wichita, KS 67214 |
| Wissam Saliba | Nephrology | Wichita Nephrology Group, Pa | 250 W Red Powell Dr, Derby, KS 67037-2626 |
| Michael E Grant | Nephrology | Wichita Nephrology Group, Pa | 10001 W Grandy Ave, Davita Dialysis, Maiza, KS 67101-3747 |
| 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 |
| Ronnie K Moussa | Nephrology | Wichita Nephrology Group, Pa | 250 W Red Powell Dr, Derby, KS 67037-2626 |
| Amanda M Valliant | Nephrology | Wichita Nephrology Group, Pa | 818 N Emporia, Suite 310, Wichita, KS 67214 |
| Edgar I Wehbe | Nephrology | Wichita Nephrology Group, Pa | 250 W Red Powell Dr, Derby, KS 67037-2626 |
| Jany K Moussa | Nephrology | Wichita Nephrology Group, Pa | 250 W Red Powell Dr, Derby, KS 67037-2626 |
| Street Address |
818 N EMPORIA SUITE 310 |
| City | WICHITA |
| State | KS |
| Zip | 67214 |
| 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 |
| 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 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| Kelly R Williams | Nurse Practitioner | Healthcore Clinic Inc | 2707 E 21st St N, Wichita, KS 67214-2249 |
| Danielle Renea Klatt | Nurse Practitioner | Healthcore Clinic Inc | 2707 E 21st St N, Wichita, KS 67214-2249 |
| Kristin Ann Loyd | Nurse Practitioner | Healthcore Clinic Inc | 2707 E 21st St N, Wichita, KS 67214-2249 |
| Shannon Linnea Pierce | Physician Assistant | Healthcore Clinic Inc | 2707 E 21st St N, Wichita, KS 67214-2249 |
| Penny E Jeffery | Family Medicine | Healthcore Clinic Inc | 2707 E 21st St N, Wichita, KS 67214-2249 |
| Daniel Warren | Family Medicine | Healthcore Clinic Inc | 2707 E 21st St N, Wichita, KS 67214-2249 |
| Tiruvadi S Ravigururajan | Physician Assistant | Healthcore Clinic Inc | 2707 E 21st St N, Wichita, KS 67214-2249 |
| Claire E Thomas | Family Medicine | Healthcore Clinic Inc | 2707 E 21st St N, Wichita, KS 67214-2249 |
| Find all physicians in zip 67214 | |||
| City | WICHITA |
| Zip Code | 67214 |
| Specialty | NEPHROLOGY |
| City + Specialty | WICHITA + NEPHROLOGY |
Please comment or provide details below to improve the information on Levi C Short.
| 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.