| Kansas Gastroenterology Llc | |
|
3121 N Webb Rd Ste 101 Wichita KS 67226-8119 | |
| (316) 261-3130 | |
| (316) 261-3275 |
| Full Name | Kansas Gastroenterology Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3121 N Webb Rd Ste 101, Wichita, Kansas |
| Authorized Official Name and Position | Estephan N Zayat (MANAGING PARTNER) |
| Authorized Official Contact | 3162613130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kansas Gastroenterology Llc 3121 N Webb Rd Ste 101 Wichita KS 67226-8119 Ph: (316) 261-3130 | Kansas Gastroenterology Llc 3121 N Webb Rd Ste 101 Wichita KS 67226-8119 Ph: (316) 261-3130 |
| NPI Number | 1477547727 |
|---|---|
| Provider Enumeration Date | 09/01/2005 |
| Last Update Date | 08/23/2024 |
| Medicare PECOS PAC ID | 1355242975 |
|---|---|
| Medicare Enrollment ID | O20040116000590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477547727 | NPI | - | NPPES |
| 200253030A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Kansas) | Primary |
| Provider Name | Estephan Nicholas Zayat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558361261 PECOS PAC ID: 0345141982 Enrollment ID: I20040121000841 |
| Provider Name | Michael William Lievens |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225038029 PECOS PAC ID: 5496656027 Enrollment ID: I20040121000948 |
| Provider Name | Robert C Hagan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073542593 PECOS PAC ID: 4486600145 Enrollment ID: I20050324001203 |
| Provider Name | Brian L Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013961804 PECOS PAC ID: 1254366610 Enrollment ID: I20051004001052 |
| Provider Name | Christopher J Culp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477523421 PECOS PAC ID: 2466456884 Enrollment ID: I20060826000036 |
| Provider Name | Robyn P Winzer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174571657 PECOS PAC ID: 3072523034 Enrollment ID: I20070129000506 |
| Provider Name | Marci J Drees |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720271018 PECOS PAC ID: 3678668589 Enrollment ID: I20071005000618 |
| Provider Name | Stephanie C Mcclellan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588912828 PECOS PAC ID: 2466697180 Enrollment ID: I20130401000300 |
| Provider Name | Mariajose Rojas De Leon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902113830 PECOS PAC ID: 1153641766 Enrollment ID: I20150522000105 |
| Provider Name | Meredith Stringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184006975 PECOS PAC ID: 9931416674 Enrollment ID: I20150914001518 |
| Provider Name | Jordan D Holmes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518130624 PECOS PAC ID: 9032376769 Enrollment ID: I20160620002303 |
| Provider Name | Jeromy R Scofield |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700336393 PECOS PAC ID: 6800175779 Enrollment ID: I20170630000709 |
| Provider Name | Ludonna K Stone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063455947 PECOS PAC ID: 4981794039 Enrollment ID: I20171215000116 |
| Provider Name | Iskandar Barakat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356624779 PECOS PAC ID: 4082978242 Enrollment ID: I20180516001061 |
| Provider Name | Bassem Matta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114366515 PECOS PAC ID: 9436482841 Enrollment ID: I20200520000717 |
| Provider Name | Sarah E Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255939161 PECOS PAC ID: 9335550797 Enrollment ID: I20201117000266 |
| Provider Name | Winnie Sheu Woc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295142768 PECOS PAC ID: 2860796125 Enrollment ID: I20210706002546 |
| Provider Name | Obada Tayyem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487006672 PECOS PAC ID: 8527448802 Enrollment ID: I20220705000170 |
| Provider Name | Gebran Khneizer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386039477 PECOS PAC ID: 4789986100 Enrollment ID: I20230611000013 |
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