Gaurav Tyagi (NPI# 1306161500, PAC ID# 6608169867) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1306161500 |
| PAC ID by PECOS | 6608169867 |
| Professional Enrollment ID | I20170525000162 |
| Full Name | Gaurav Tyagi |
| Organization Legal Name | CARDIOVASCULAR CARE PA |
| Address |
715 Medical Ctr Dr Suite 100 Newton KS 67114-9056 |
| Phone Number | 3168044670 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 7315963899 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170122 | VIA CHRISTI HOSPITAL-WICHITA |
| 170123 | WESLEY MEDICAL CENTER |
| 170200 | VIA CHRISTI HOSPITAL WICHITA ST TERESA, INC |
| 170103 | NEWTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 715 Medical Ctr Dr, Suite 100, Newton, KS 67114-9056 | 3168044670 | CARDIOVASCULAR CARE PA |
| 925 N Hillside St, Wichita, KS 67214-3219 | 3166163333 | CARDIOVASCULAR CARE PA |
| Organization Legal Name | CARDIOVASCULAR CARE PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elyse L Patton | Nurse Practitioner | Cardiovascular Care Pa | 925 N Hillside St, Wichita, KS 67214-3219 |
| Amy M Stutzman | Nurse Practitioner | Cardiovascular Care Pa | 715 Medical Ctr Dr, Suite 100, Newton, KS 67114-9056 |
| Amber Ecton | Nurse Practitioner | Cardiovascular Care Pa | 715 Medical Ctr Dr, Suite 100, Newton, KS 67114-9056 |
| Rebecca L Wernli | Nurse Practitioner | Cardiovascular Care Pa | 715 Medical Ctr Dr, Suite 100, Newton, KS 67114-9056 |
| Kimberly K Flory | Nurse Practitioner | Cardiovascular Care Pa | 715 Medical Ctr Dr, Suite 100, Newton, KS 67114-9056 |
| Street Address |
715 MEDICAL CTR DR SUITE 100 |
| City | NEWTON |
| State | KS |
| Zip | 67114-9056 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy M Stutzman | Nurse Practitioner | Cardiovascular Care Pa | 715 Medical Ctr Dr, Suite 100, Newton, KS 67114-9056 |
| Amber Ecton | Nurse Practitioner | Cardiovascular Care Pa | 715 Medical Ctr Dr, Suite 100, Newton, KS 67114-9056 |
| Rebecca L Wernli | Nurse Practitioner | Cardiovascular Care Pa | 715 Medical Ctr Dr, Suite 100, Newton, KS 67114-9056 |
| Kimberly K Flory | Nurse Practitioner | Cardiovascular Care Pa | 715 Medical Ctr Dr, Suite 100, Newton, KS 67114-9056 |
| Elizabeth L Claassen | Physician Assistant | Integrity Medicine LLC | 715 Medical Ctr Dr, Newton, KS 67114-9056 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Connie S Skibbe | Clinical Social Worker | 2216 N Anderson Rd, Newton, KS 67114-0158 | |
| Randall Dewaine Jasperson | Chiropractic | 1525 N Main St, Newton, KS 67114-1919 | |
| Paul F Bogner | General Surgery | Newton Healthcare Corporation | 118 E 12th St, Convenient Care Clinic, Newton, KS 67114-1931 |
| Doyle D Detweiler | Hospitalist | Newton Healthcare Corporation | 118 E 12th St, Convenient Care Clinic, Newton, KS 67114-1931 |
| Tiana L Gaines | Nurse Practitioner | Newton Healthcare Corporation | 118 E 12th St, Convenient Care Clinic, Newton, KS 67114-1931 |
| Frank E Bysfield | Internal Medicine | Newton Healthcare Corporation | 118 E 12th St, Convenient Care Clinic, Newton, KS 67114-1931 |
| Julie V Ashbrook Deering | Nurse Practitioner | Newton Healthcare Corporation | 118 E 12th St, Convenient Care Clinic, Newton, KS 67114-1931 |
| Konnie Elizabeth Wheeler | Nurse Practitioner | Newton Healthcare Corporation | 118 E 12th St, Convenient Care Clinic, Newton, KS 67114-1931 |
| Roberta L Loeffler | Hospitalist | Newton Healthcare Corporation | 118 E 12th St, Convenient Care Clinic, Newton, KS 67114-1931 |
| Shawna Johnson | Nurse Practitioner | Newton Healthcare Corporation | 118 E 12th St, Convenient Care Clinic, Newton, KS 67114-1931 |
| Find all physicians in zip 67114 | |||
| City | NEWTON |
| Zip Code | 67114 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | NEWTON + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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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.