| Ascension Via Christi Physician Group | |
|
929 N. St. Francis Wichita KS 67214-3821 | |
| (316) 268-5000 | |
| (316) 291-4788 |
| Full Name | Ascension Via Christi Physician Group |
|---|---|
| Speciality | Family Medicine |
| Location | 929 N. St. Francis, Wichita, Kansas |
| Authorized Official Name and Position | Michael Mccullough (CFO) |
| Authorized Official Contact | 3168584933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Via Christi Physician Group Po Box 1897 Wichita KS 67201-1897 Ph: (316) 268-5178 | Ascension Via Christi Physician Group 929 N. St. Francis Wichita KS 67214-3821 Ph: (316) 268-5000 |
| NPI Number | 1871589333 |
|---|---|
| Provider Enumeration Date | 09/21/2005 |
| Last Update Date | 08/12/2019 |
| Medicare PECOS PAC ID | 5799696944 |
|---|---|
| Medicare Enrollment ID | O20031118000404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871589333 | NPI | - | NPPES |
| 100080640D | Medicaid | KS |
| Provider Name | Kate Johanna Clawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962513960 PECOS PAC ID: 1153222625 Enrollment ID: I20040116000929 |
| Provider Name | Shawn L Conard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073511051 PECOS PAC ID: 3971406612 Enrollment ID: I20040129000778 |
| Provider Name | Shiloh S Jiwanlal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194930990 PECOS PAC ID: 8628960853 Enrollment ID: I20040325000139 |
| Provider Name | Chau N Kovach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215932512 PECOS PAC ID: 5496740706 Enrollment ID: I20040416000733 |
| Provider Name | Anthony G Pollock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972576254 PECOS PAC ID: 8628059151 Enrollment ID: I20040528000928 |
| Provider Name | Heather J Heiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225082100 PECOS PAC ID: 3476535832 Enrollment ID: I20040601001246 |
| Provider Name | Ronald Joseph Nold |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326045113 PECOS PAC ID: 8123091196 Enrollment ID: I20040817001286 |
| Provider Name | Husam Bakdash |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376500785 PECOS PAC ID: 7911972575 Enrollment ID: I20040827000982 |
| Provider Name | Scott S Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982679957 PECOS PAC ID: 1153396643 Enrollment ID: I20040828000026 |
| Provider Name | Mark Camden Whitaker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811979271 PECOS PAC ID: 1355317165 Enrollment ID: I20040902001226 |
| Provider Name | Jeff A Beekhuizen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750499984 PECOS PAC ID: 1254308174 Enrollment ID: I20040910001153 |
| Provider Name | Agnes Marie Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568440204 PECOS PAC ID: 6507833787 Enrollment ID: I20040916000233 |
| Provider Name | Hossein Amirani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164493201 PECOS PAC ID: 6406750835 Enrollment ID: I20041001000155 |
| Provider Name | Keck R Hartman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912902685 PECOS PAC ID: 3577524800 Enrollment ID: I20041020001000 |
| Provider Name | Hussam Farhoud |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144287574 PECOS PAC ID: 9133181555 Enrollment ID: I20041028000684 |
| Provider Name | Mohamad Saad Farhat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528062163 PECOS PAC ID: 1254393689 Enrollment ID: I20041028000743 |
| Provider Name | P David Margolis |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1619921855 PECOS PAC ID: 8325000763 Enrollment ID: I20041028000768 |
| Provider Name | Erik L Severud |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477577674 PECOS PAC ID: 5496718066 Enrollment ID: I20041105000221 |
| Provider Name | Margaret E Hagan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114922887 PECOS PAC ID: 6709852239 Enrollment ID: I20050124000663 |
| Provider Name | Douglas P Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558366641 PECOS PAC ID: 1456303106 Enrollment ID: I20050210000830 |
| Provider Name | Layne M Reusser |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003879974 PECOS PAC ID: 5193793040 Enrollment ID: I20050314000364 |
| Provider Name | Helen Ruth Ramsey |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366447492 PECOS PAC ID: 6305884073 Enrollment ID: I20050422000175 |
| Provider Name | Lyle F Zepick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346294808 PECOS PAC ID: 4385683200 Enrollment ID: I20050429000754 |
| Provider Name | Assem Z Farhat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720070907 PECOS PAC ID: 8325088230 Enrollment ID: I20050510001095 |
| Provider Name | Blake C Veenis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1386758910 PECOS PAC ID: 8426098146 Enrollment ID: I20050511000879 |
| Provider Name | John L Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669470290 PECOS PAC ID: 1355382995 Enrollment ID: I20050513000479 |
| Provider Name | Amy E Curry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154400539 PECOS PAC ID: 5496798233 Enrollment ID: I20050602001105 |
| Provider Name | Maurice L Duggins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659376705 PECOS PAC ID: 2567405822 Enrollment ID: I20050607001079 |
| Provider Name | Wassim H Shaheen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1780625558 PECOS PAC ID: 0042253338 Enrollment ID: I20050607001330 |
| Provider Name | Brent A Lancaster |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861499626 PECOS PAC ID: 5597701615 Enrollment ID: I20050629000529 |
| Provider Name | Rex B Keith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538164603 PECOS PAC ID: 3274579636 Enrollment ID: I20050707000414 |
| Provider Name | Aziz R Maksoud |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003961764 PECOS PAC ID: 0143266528 Enrollment ID: I20050707000562 |
| Provider Name | Timothy S Wolff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649237587 PECOS PAC ID: 4688607658 Enrollment ID: I20050912000694 |
| Provider Name | Dan E Mccarty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780641613 PECOS PAC ID: 9133152119 Enrollment ID: I20050912000797 |
| Provider Name | Pavan S Reddy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932161155 PECOS PAC ID: 6507890308 Enrollment ID: I20050921000663 |
| Provider Name | Samuel T Stephens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164519427 PECOS PAC ID: 7416983085 Enrollment ID: I20060109000508 |
| Provider Name | Therese E Cusick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043217722 PECOS PAC ID: 5890719645 Enrollment ID: I20060119000161 |
| Provider Name | Andrew S Porter |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1962458828 PECOS PAC ID: 0143231472 Enrollment ID: I20060525000123 |
| Provider Name | Abid K Mallick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538116488 PECOS PAC ID: 8224040464 Enrollment ID: I20060707000054 |
| Provider Name | Wendy Lynn Dusenbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447255526 PECOS PAC ID: 1850394800 Enrollment ID: I20060814000249 |
| Provider Name | Muthukumar Vellaichamy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396778973 PECOS PAC ID: 4385647817 Enrollment ID: I20060822000593 |
| Provider Name | Maha A Assi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922071224 PECOS PAC ID: 0345277786 Enrollment ID: I20060822000601 |
| Provider Name | Mohamad K Al Ahdab |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336172014 PECOS PAC ID: 9436108461 Enrollment ID: I20061101000362 |
| Provider Name | Joseph Lemlek |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932268265 PECOS PAC ID: 8628070471 Enrollment ID: I20070207000081 |
| Provider Name | James L Walker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871640946 PECOS PAC ID: 2062515836 Enrollment ID: I20070614000524 |
| Provider Name | Lisa A Koch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093725905 PECOS PAC ID: 7911097977 Enrollment ID: I20071214000494 |
| Provider Name | Cynthia I Nash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124143409 PECOS PAC ID: 4688755358 Enrollment ID: I20080118000646 |
| Provider Name | Shonda L Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508834961 PECOS PAC ID: 4183705734 Enrollment ID: I20080121000349 |
| Provider Name | Dena R Hall |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1679614028 PECOS PAC ID: 3274611199 Enrollment ID: I20080417000431 |
| Provider Name | David Bryant |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1124000435 PECOS PAC ID: 6103920590 Enrollment ID: I20080515000136 |
| Provider Name | Jeremy L Howes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447478128 PECOS PAC ID: 5496828568 Enrollment ID: I20080723000082 |
| Provider Name | James M Haan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609803725 PECOS PAC ID: 5395818470 Enrollment ID: I20080723000108 |
| Provider Name | Dhaval R Parikh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104932086 PECOS PAC ID: 0143393983 Enrollment ID: I20080726000097 |
| Provider Name | Tracy L Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689699944 PECOS PAC ID: 6103825856 Enrollment ID: I20080815000680 |
| Provider Name | Ryan W Livermore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538381074 PECOS PAC ID: 9830264993 Enrollment ID: I20080825000294 |
| Provider Name | Devin W Penny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427253921 PECOS PAC ID: 0143388751 Enrollment ID: I20081027000528 |
| Provider Name | Melissa L Penny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699970194 PECOS PAC ID: 0648338251 Enrollment ID: I20081027000565 |
| Provider Name | Michelle Annette Harshfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568400190 PECOS PAC ID: 3274694922 Enrollment ID: I20081212000527 |
| Provider Name | Christos E Mandanis |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1770636854 PECOS PAC ID: 9931188992 Enrollment ID: I20090615000515 |
| Provider Name | John D Peterson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023239753 PECOS PAC ID: 3173675196 Enrollment ID: I20090722000062 |
| Provider Name | Charla L Yassine |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1275542359 PECOS PAC ID: 1850428525 Enrollment ID: I20100429000033 |
| Provider Name | Miki Matsuda |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720241821 PECOS PAC ID: 6305990243 Enrollment ID: I20100716000291 |
| Provider Name | Freidy A Eid |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629205356 PECOS PAC ID: 8527191048 Enrollment ID: I20100804001079 |
| Provider Name | Ghiyath Al-tabbal |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1689890121 PECOS PAC ID: 5890842629 Enrollment ID: I20100806000843 |
| Provider Name | Janel R Harting |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821214560 PECOS PAC ID: 0244354033 Enrollment ID: I20100831000684 |
| Provider Name | Jennifer Lynn Wipperman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588869085 PECOS PAC ID: 6901920321 Enrollment ID: I20100907000831 |
| Provider Name | Dee A Bragg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629273875 PECOS PAC ID: 4587856711 Enrollment ID: I20101006001073 |
| Provider Name | Lisa M Gilbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396973848 PECOS PAC ID: 1254523970 Enrollment ID: I20101012001362 |
| Provider Name | Rachel E Reimer-kouame |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407012529 PECOS PAC ID: 2961686852 Enrollment ID: I20110419000156 |
| Provider Name | Leighann M Persondek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376832600 PECOS PAC ID: 7315123783 Enrollment ID: I20110519000342 |
| Provider Name | Brett E Grizzell |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1659599314 PECOS PAC ID: 2769650506 Enrollment ID: I20110721000161 |
| Provider Name | Nadia Gibson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1164698593 PECOS PAC ID: 8729152574 Enrollment ID: I20110725000467 |
| Provider Name | Amy L Seery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104087436 PECOS PAC ID: 7113195702 Enrollment ID: I20110726000789 |
| Provider Name | Preethi C Kurakula |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1598942328 PECOS PAC ID: 0143495788 Enrollment ID: I20111209000794 |
| Provider Name | Shilpa G Kshatriya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144470063 PECOS PAC ID: 2769657105 Enrollment ID: I20111213000475 |
| Provider Name | Justin C Sandall |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851595342 PECOS PAC ID: 9032374012 Enrollment ID: I20120625000306 |
| Provider Name | Nicholas M Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639396757 PECOS PAC ID: 3072783786 Enrollment ID: I20120824000743 |
| Provider Name | Patrick L Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023304508 PECOS PAC ID: 0648421180 Enrollment ID: I20121119000493 |
| Provider Name | Danielle M Swartsfager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326397167 PECOS PAC ID: 4385897123 Enrollment ID: I20130104000019 |
| Provider Name | Marci L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568714533 PECOS PAC ID: 6608021811 Enrollment ID: I20130219000169 |
| Provider Name | Bassem M Chehab |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710006820 PECOS PAC ID: 6406098425 Enrollment ID: I20130805000054 |
| Provider Name | Kathryn M Fulghum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649616988 PECOS PAC ID: 1658500418 Enrollment ID: I20140128000620 |
| Provider Name | Abby M Mercado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669807103 PECOS PAC ID: 2769611359 Enrollment ID: I20140130001179 |
| Provider Name | Rebecca L Hopper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174969596 PECOS PAC ID: 6507095510 Enrollment ID: I20140213001451 |
| Provider Name | Brenna Paige Winn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134542368 PECOS PAC ID: 9234369901 Enrollment ID: I20140224002038 |
| Provider Name | Meredith J Schaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386062560 PECOS PAC ID: 5890928998 Enrollment ID: I20140424002195 |
| Provider Name | Philip T Dooley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902003601 PECOS PAC ID: 7911187380 Enrollment ID: I20140606000443 |
| Provider Name | Samantha Beck |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104054642 PECOS PAC ID: 3779731377 Enrollment ID: I20140710000363 |
| Provider Name | Abdel-ghanie H Abu-samra |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134383177 PECOS PAC ID: 0840415493 Enrollment ID: I20140715002032 |
| Provider Name | Austin B George |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336468495 PECOS PAC ID: 9739336132 Enrollment ID: I20140829001536 |
| Provider Name | Ali M Elkharbotly |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1710147780 PECOS PAC ID: 3678884145 Enrollment ID: I20150624002625 |
| Provider Name | Margaret A Ward |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1942607171 PECOS PAC ID: 5698087807 Enrollment ID: I20150701000186 |
| Provider Name | Andre Saad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124259213 PECOS PAC ID: 8921310426 Enrollment ID: I20150710001652 |
| Provider Name | Dennis O Oyieng'o |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629207766 PECOS PAC ID: 6608095781 Enrollment ID: I20150722004360 |
| Provider Name | Kevin Kadesky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295818631 PECOS PAC ID: 1456394519 Enrollment ID: I20150828000450 |
| Provider Name | Youssef S Yammine |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295957587 PECOS PAC ID: 3870787609 Enrollment ID: I20151106001982 |
| Provider Name | Julie L Belt Newton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598701484 PECOS PAC ID: 9436455946 Enrollment ID: I20160309002310 |
| Provider Name | Rafael E Cabrera Salinas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013145747 PECOS PAC ID: 2466684295 Enrollment ID: I20160519001885 |
| Provider Name | Raid A Abu-awwad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386945392 PECOS PAC ID: 4789973207 Enrollment ID: I20160523000744 |
| Provider Name | Paul Michael Cleland |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1952662793 PECOS PAC ID: 0244489201 Enrollment ID: I20160802001400 |
| Provider Name | Jeffrey T Shepherd |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225357189 PECOS PAC ID: 5092961458 Enrollment ID: I20160805000094 |
| Provider Name | Danielle J Reed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164660494 PECOS PAC ID: 4385814052 Enrollment ID: I20160818001651 |
| Provider Name | Steven L Olsen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497737159 PECOS PAC ID: 9638194202 Enrollment ID: I20160818001919 |
| Provider Name | Jessica Brunkhorst |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750542254 PECOS PAC ID: 2365737822 Enrollment ID: I20160823000608 |
| Provider Name | Joshua E Petrikin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023081791 PECOS PAC ID: 5294863759 Enrollment ID: I20161017000535 |
| Provider Name | Aaron M Nilhas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336401082 PECOS PAC ID: 9830346303 Enrollment ID: I20170517002361 |
| Provider Name | Gaurav Tyagi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306161500 PECOS PAC ID: 6608169867 Enrollment ID: I20170525000162 |
| Provider Name | Anwar K Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366730426 PECOS PAC ID: 4385911122 Enrollment ID: I20170525001988 |
| Provider Name | Apeksha Sathyaprasad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689087942 PECOS PAC ID: 4385912138 Enrollment ID: I20170620000662 |
| Provider Name | Adam Mcclure |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467870170 PECOS PAC ID: 3870862899 Enrollment ID: I20170707000890 |
| Provider Name | Aaron D Olson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386058097 PECOS PAC ID: 0840417200 Enrollment ID: I20170725003195 |
| Provider Name | John M Daniel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295023745 PECOS PAC ID: 8820360928 Enrollment ID: I20170824001950 |
| Provider Name | Gangaram G Akangire |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013101724 PECOS PAC ID: 2062642150 Enrollment ID: I20170919002405 |
| Provider Name | Lovya George |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215298039 PECOS PAC ID: 0345543518 Enrollment ID: I20180615001712 |
| Provider Name | Wyssem A Ramdani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104840693 PECOS PAC ID: 2668463936 Enrollment ID: I20180713001798 |
| Provider Name | Christian A Hourani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538480538 PECOS PAC ID: 5799032660 Enrollment ID: I20180724001034 |
| Provider Name | Karissa A Gilchrist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558890384 PECOS PAC ID: 8921379298 Enrollment ID: I20181114002195 |
| Provider Name | Mahdi Alsaleem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609218171 PECOS PAC ID: 9537406897 Enrollment ID: I20190613001495 |
| Provider Name | Brady Joseph Werth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427463256 PECOS PAC ID: 9436376944 Enrollment ID: I20190709003077 |
| Provider Name | Kathryn Henecke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598206435 PECOS PAC ID: 1759659840 Enrollment ID: I20190711001387 |
| Provider Name | Scott David Mclaren |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013145572 PECOS PAC ID: 0749437762 Enrollment ID: I20190815002993 |
| Provider Name | Salman Hasan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316358492 PECOS PAC ID: 7416238373 Enrollment ID: I20190829000113 |
| Provider Name | Jared M Regehr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295228609 PECOS PAC ID: 9739438144 Enrollment ID: I20200212000300 |
| Provider Name | Audra M Birzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316572076 PECOS PAC ID: 4880023712 Enrollment ID: I20200329000050 |
| Provider Name | Leah R Somes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942831334 PECOS PAC ID: 5597194365 Enrollment ID: I20200330001550 |
| Provider Name | Byron B Gorman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174515522 PECOS PAC ID: 2062638729 Enrollment ID: I20200502000122 |
| Provider Name | Judith Anne Shilling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497355473 PECOS PAC ID: 3375950033 Enrollment ID: I20210324001639 |
| Provider Name | Ashley N Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316430069 PECOS PAC ID: 5597014209 Enrollment ID: I20210621003111 |
| Provider Name | Ibrahim J Raphael |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275943144 PECOS PAC ID: 6406158948 Enrollment ID: I20210709001750 |
| Provider Name | Thamer Sartawi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639540669 PECOS PAC ID: 3375814296 Enrollment ID: I20210812002958 |
| Provider Name | Ahmed L Elsaie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326422346 PECOS PAC ID: 8224426861 Enrollment ID: I20211101000824 |
| Provider Name | Mariana F Theodoro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447645312 PECOS PAC ID: 4688064488 Enrollment ID: I20211210000364 |
| Provider Name | Rachelle E Poirier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821741919 PECOS PAC ID: 8527454230 Enrollment ID: I20220406000821 |
| Provider Name | Shi-metria M Slaughter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154713709 PECOS PAC ID: 3375921695 Enrollment ID: I20220527000662 |
| Provider Name | Alyssa C Hemberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801521521 PECOS PAC ID: 2466834692 Enrollment ID: I20220803003459 |
| Provider Name | Bethany G Harpole |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1891175733 PECOS PAC ID: 1850605999 Enrollment ID: I20220809001574 |
| Provider Name | Taylor A Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770140121 PECOS PAC ID: 0143556894 Enrollment ID: I20220831000352 |
| Provider Name | Jordan C Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346866357 PECOS PAC ID: 4688099864 Enrollment ID: I20220907001267 |
| Provider Name | Malerie E Davied |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922604198 PECOS PAC ID: 7315313590 Enrollment ID: I20221012002671 |
| Provider Name | Sonya E Padilla |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376841965 PECOS PAC ID: 1052788973 Enrollment ID: I20221107001838 |
| Provider Name | Jennie G Godwin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811341506 PECOS PAC ID: 0244525046 Enrollment ID: I20221205002331 |
| Provider Name | Melissa A Whiteside |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1225760341 PECOS PAC ID: 6305202185 Enrollment ID: I20230522000200 |
| Provider Name | Maha A Mohamad |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1083190763 PECOS PAC ID: 7719236124 Enrollment ID: I20230717002718 |
| Provider Name | Kathy M Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609499219 PECOS PAC ID: 4587089776 Enrollment ID: I20230802000663 |
| Provider Name | Geoffrey L Allen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497705933 PECOS PAC ID: 0244313708 Enrollment ID: I20230913002615 |
| Provider Name | Charles N Spear |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780070276 PECOS PAC ID: 6103128442 Enrollment ID: I20230920000353 |
| Provider Name | Katherine Grace Macmillan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104340215 PECOS PAC ID: 2163788316 Enrollment ID: I20230920000970 |
| Provider Name | Ashley E Daniel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679935647 PECOS PAC ID: 7517250707 Enrollment ID: I20231013002896 |
| Provider Name | Kristina T Acevedo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588197743 PECOS PAC ID: 3274989587 Enrollment ID: I20231023002874 |
| Provider Name | Maya Flores |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316725146 PECOS PAC ID: 2860848033 Enrollment ID: I20231024002180 |
| Provider Name | Neha Sinha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649703059 PECOS PAC ID: 1759737620 Enrollment ID: I20231028000599 |
Form Associates, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 E Douglas Ave Fl 2, Wichita, KS 67202 Phone: 617-505-1520 | |
Primary Care Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7111 E 21st St N Ste A, Wichita, KS 67206 Phone: 316-684-2851 | |
Substance Abuse At Hunter Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2318 E Central Ave, Wichita, KS 67214 Phone: 316-262-3611 Fax: 316-262-0741 | |
Freestate Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4723 E Douglas Ave, Wichita, KS 67218 Phone: 888-505-1776 Fax: 888-505-1776 | |
Centerwell Senior Primary Care (ks) Pa - Parklane Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 961 S Glendale St, Wichita, KS 67218 Phone: 316-618-9555 | |
Robert A Sweet Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3122 N Cypress Dr, Suite 100, Wichita, KS 67226 Phone: 316-260-4747 | |
World Impact, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 E 13th St N, #400, Wichita, KS 67208 Phone: 316-682-1880 |