| Holy Family Medical Associates Llc | |
|
144 S Hillside St Wichita KS 67211-2154 | |
| (316) 682-9900 | |
| (316) 682-0311 |
| Full Name | Holy Family Medical Associates Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 144 S Hillside St, Wichita, Kansas |
| Authorized Official Name and Position | Brenda L Thanel (ADMINISTRATOR) |
| Authorized Official Contact | 3166829900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holy Family Medical Associates Llc 144 S Hillside St Wichita KS 67211-2154 Ph: (316) 682-9900 | Holy Family Medical Associates Llc 144 S Hillside St Wichita KS 67211-2154 Ph: (316) 682-9900 |
| NPI Number | 1356649552 |
|---|---|
| Provider Enumeration Date | 03/11/2011 |
| Last Update Date | 12/01/2014 |
| Medicare PECOS PAC ID | 5294912648 |
|---|---|
| Medicare Enrollment ID | O20110610000641 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356649552 | NPI | - | NPPES |
| 200716880A | Medicaid | KS |
| Provider Name | Ronald C Ferris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831165562 PECOS PAC ID: 9537123971 Enrollment ID: I20041116000701 |
| Provider Name | Christine E Stearman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740613462 PECOS PAC ID: 5193951531 Enrollment ID: I20131113001656 |
| Provider Name | Ashley K Dwyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720428535 PECOS PAC ID: 6406082411 Enrollment ID: I20131121001952 |
| Provider Name | Melinda Sue Edmondson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730557596 PECOS PAC ID: 7315255700 Enrollment ID: I20151005001959 |
| Provider Name | Shelley A Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528439601 PECOS PAC ID: 7315256674 Enrollment ID: I20151028000017 |
| Provider Name | Jessica L Marean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124477245 PECOS PAC ID: 2466743083 Enrollment ID: I20160628002698 |
| Provider Name | Cheriana Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952801201 PECOS PAC ID: 6103187158 Enrollment ID: I20180307002771 |
| Provider Name | Kristin Ann Loyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316445257 PECOS PAC ID: 1658634464 Enrollment ID: I20180409001884 |
| Provider Name | Danielle Renea Kauffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316435449 PECOS PAC ID: 3476809369 Enrollment ID: I20180706002313 |
| Provider Name | Diana C Oltean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124596887 PECOS PAC ID: 1658617790 Enrollment ID: I20190122001261 |
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