Joseph R Tingey (NPI# 1942566476, PAC ID# 7517286073) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1942566476 |
| PAC ID by PECOS | 7517286073 |
| Professional Enrollment ID | I20160908001148 |
| Full Name | Joseph R Tingey |
| Organization Legal Name | MID KANSAS ORAL AND MAXILLOFACIAL SURGERY LLC |
| Address |
3510 N Ridge Rd Suite 500 Wichita KS 67205-1226 |
| Phone Number | 3167220800 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF DENTISTRY |
| Graduation Year | 2012 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Secondary Specialties | ORAL SURGERY |
| Group Practice PAC ID | 7113255712 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170122 | VIA CHRISTI HOSPITAL-WICHITA |
| 170200 | VIA CHRISTI HOSPITAL WICHITA ST TERESA, INC |
| Address | Phone | Organization |
|---|---|---|
| 3510 N Ridge Rd, Suite 500, Wichita, KS 67205-1226 | 3167220800 | MID KANSAS ORAL AND MAXILLOFACIAL SURGERY LLC |
| Organization Legal Name | MID KANSAS ORAL AND MAXILLOFACIAL SURGERY LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Myles T Davidson | Maxillofacial Surgery | Mid Kansas Oral and Maxillofacial Surgery LLC | 3510 N Ridge Rd, Suite 500, Wichita, KS 67205-1226 |
| John D Gagnon | Maxillofacial Surgery | Mid Kansas Oral and Maxillofacial Surgery LLC | 3510 N Ridge Rd, Suite 500, Wichita, KS 67205-1226 |
| Street Address |
3510 N RIDGE RD SUITE 500 |
| City | WICHITA |
| State | KS |
| Zip | 67205-1226 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Myles T Davidson | Maxillofacial Surgery | Mid Kansas Oral and Maxillofacial Surgery LLC | 3510 N Ridge Rd, Suite 500, Wichita, KS 67205-1226 |
| John D Gagnon | Maxillofacial Surgery | Mid Kansas Oral and Maxillofacial Surgery LLC | 3510 N Ridge Rd, Suite 500, Wichita, KS 67205-1226 |
| Joseph T Poggi | Plastic and Reconstructive Surgery | 3510 N Ridge Rd, Suite 100, Wichita, KS 67205-1210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Basit Ali Malik | Internal Medicine | 2260 N Ridge Rd, Suite 210, Wichita, KS 67205-1130 | |
| Kelley G Arnold | Chiropractic | 2260 N Ridge Rd, Suite 200, Wichita, KS 67205-1142 | |
| Donald B Scrafford | Ophthalmology | Grene Vision Group LLC | 3607 N Rigde Rd, Wichita, KS 67205-1214 |
| Christopher B Means | Optometry | Grene Vision Group LLC | 3607 N Rigde Rd, Wichita, KS 67205-1214 |
| Robert Michael Murphy | Optometry | Grene Vision Group LLC | 3607 N Rigde Rd, Wichita, KS 67205-1214 |
| Bethany J King | Otolaryngology | Kansas Surgical Arts LLC | 3460 N Ridge Rd, Suite 160, Wichita, KS 67205-1223 |
| Ashleigh Eddelbuttel | Qualified Audiologist | Wichita Surgical Specialists Pa | 3460 N Ridge Rd, Suite 120, Wichita, KS 67205-1223 |
| Janelle R Petrisor | Physical Therapy | Advanced Pt LLC | 3460 N Ridge Rd, 80 Advanced Pt Aquatic Rehab, Wichita, KS 67205-1223 |
| Addie Tennille Greb | Nurse Practitioner | Wichita Surgical Specialists Pa | 3460 N Ridge Rd, Suite 120, Wichita, KS 67205-1223 |
| Gabriel O De La Garza | Otolaryngology | Wichita Surgical Specialists Pa | 3460 N Ridge Rd, Suite 120, Wichita, KS 67205-1223 |
| Find all physicians in zip 67205 | |||
| City | WICHITA |
| Zip Code | 67205 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | WICHITA + MAXILLOFACIAL SURGERY |
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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.