Northwest Family Physicians, Llc | |
3730 N Ridge Rd Ste 100 Wichita KS 67205-1228 | |
(316) 462-6200 | |
(316) 462-6214 |
Full Name | Northwest Family Physicians, Llc |
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Speciality | Family Medicine |
Location | 3730 N Ridge Rd, Wichita, Kansas |
Authorized Official Name and Position | Heather Db Steinert (OFFICE MANAGER) |
Authorized Official Contact | 3164626200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Northwest Family Physicians, Llc 3730 N Ridge Rd Ste 100 Wichita KS 67205-1228 Ph: (316) 462-6200 | Northwest Family Physicians, Llc 3730 N Ridge Rd Ste 100 Wichita KS 67205-1228 Ph: (316) 462-6200 |
NPI Number | 1982607701 |
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Provider Enumeration Date | 05/24/2005 |
Last Update Date | 10/06/2014 |
Medicare PECOS PAC ID | 9133114218 |
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Medicare Enrollment ID | O20040419000034 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982607701 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4812412405 (Kansas) | Primary |
Provider Name | Tana L Goering |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487616496 PECOS PAC ID: 3971549478 Enrollment ID: I20050706000963 |
Provider Name | Robin Andrew Walker |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891917209 PECOS PAC ID: 6406913110 Enrollment ID: I20090325000251 |
Provider Name | Timothy Michael Koehler |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871596684 PECOS PAC ID: 0840336574 Enrollment ID: I20100305000182 |
Provider Name | Richard Egelhof |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386647196 PECOS PAC ID: 9931245669 Enrollment ID: I20100513000588 |
Provider Name | Nathan Blake Norris |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396184420 PECOS PAC ID: 3072837756 Enrollment ID: I20160622001761 |
Provider Name | Joseph D Baalmann |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366854416 PECOS PAC ID: 7618193368 Enrollment ID: I20170104000269 |
Provider Name | Phuong Thi Duong |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548931488 PECOS PAC ID: 1850798588 Enrollment ID: I20210923001015 |
Provider Name | Jeffrey Douglas Cotter |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861811085 PECOS PAC ID: 8921224189 Enrollment ID: I20220720001856 |
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