| Primary Care Associates, Llc | |
|
7111 E 21st St N Ste A Wichita KS 67206-1078 | |
| (316) 684-2851 | |
| Not Available |
| Full Name | Primary Care Associates, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7111 E 21st St N Ste A, Wichita, Kansas |
| Authorized Official Name and Position | Jed D Holmes (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3166842851 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Associates, Llc 7111 E 21st St N Ste A Wichita KS 67206-1078 Ph: (316) 684-2851 | Primary Care Associates, Llc 7111 E 21st St N Ste A Wichita KS 67206-1078 Ph: (316) 684-2851 |
| NPI Number | 1003832403 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1153235015 |
|---|---|
| Medicare Enrollment ID | O20040226000340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003832403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Thanh N Truong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225009616 PECOS PAC ID: 7517859705 Enrollment ID: I20040324001714 |
| Provider Name | Paul H Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710980164 PECOS PAC ID: 5597743526 Enrollment ID: I20050503000083 |
| Provider Name | Mark A Leiker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881698348 PECOS PAC ID: 8325087935 Enrollment ID: I20050503000109 |
| Provider Name | Jed D Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033111331 PECOS PAC ID: 7214823145 Enrollment ID: I20050503000151 |
| Provider Name | Hai K Truong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821044173 PECOS PAC ID: 2961441597 Enrollment ID: I20050503000299 |
| Provider Name | Darla M Rivera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336149137 PECOS PAC ID: 0941249585 Enrollment ID: I20050503000396 |
| Provider Name | Angela M Leiker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336145911 PECOS PAC ID: 9931149234 Enrollment ID: I20050505000877 |
| Provider Name | Stephen J Grindel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932164373 PECOS PAC ID: 9537100235 Enrollment ID: I20050512000475 |
| Provider Name | Claudia Ximena Wendell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679504153 PECOS PAC ID: 8325077712 Enrollment ID: I20080515000070 |
| Provider Name | Emily C Vinzant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881855054 PECOS PAC ID: 7911177613 Enrollment ID: I20110908001705 |
| Provider Name | Gregory Greer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235576695 PECOS PAC ID: 6002037165 Enrollment ID: I20141015001106 |
| Provider Name | Cole M Gillenwater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932557220 PECOS PAC ID: 5193019842 Enrollment ID: I20180221000504 |
| Provider Name | Aubrey S Ralston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053706655 PECOS PAC ID: 2668780149 Enrollment ID: I20180925002676 |
| Provider Name | Kelsey Gilliam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932876455 PECOS PAC ID: 2062801624 Enrollment ID: I20211119001946 |
| Provider Name | Thuy-annie Grisamore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992471478 PECOS PAC ID: 8628469707 Enrollment ID: I20211228000976 |
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