Dr Taysir Shash, MD | |
3600 E Harry St, Wichita, KS 67218-3713 | |
(316) 689-5475 | |
(316) 691-6772 |
Full Name | Dr Taysir Shash |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 3600 E Harry St, Wichita, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750349734 | NPI | - | NPPES |
200656100A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 04-34325 (Kansas) | Primary |
Entity Name | St Marys Hospital And Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275714081 PECOS PAC ID: 1557267069 Enrollment ID: O20031218000149 |
Entity Name | Scl Health Medical Group - Grand Junction Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356765556 PECOS PAC ID: 3779707856 Enrollment ID: O20140611000363 |
Mailing Address | Practice Location Address |
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Dr Taysir Shash, MD Po Box 1897, Wichita, KS 67201-1897 Ph: (316) 268-8131 | Dr Taysir Shash, MD 3600 E Harry St, Wichita, KS 67218-3713 Ph: (316) 689-5475 |
Patrick Bowen, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 N. Kansas, Wcgme, Wichita, KS 67214 Phone: 316-962-3030 | |
Dr. Cindy Daugherty, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 620 N Carriage Pkwy, Wichita, KS 67208 Phone: 316-962-3100 Fax: 316-962-3132 | |
Deborah Anne Kroeker Alliston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 620 N Carriage Pkwy, Wichita, KS 67208 Phone: 316-962-3100 Fax: 316-962-3132 | |
Justin Alexander Mills, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-962-3030 | |
Luke O Nichols, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9211 E 21st St N, Wichita, KS 67206 Phone: 316-609-4400 Fax: 316-634-4040 | |
Kay Hocutt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9211 E 21st St N, Wichita, KS 67206 Phone: 316-609-4400 Fax: 316-634-4040 | |
Grace Nehme, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 |