| St. Gianna Family Medicine Llc | |
|
2135 N Ridge Rd Ste 400 Wichita KS 67212-1404 | |
| (316) 768-6444 | |
| (316) 719-2406 |
| Full Name | St. Gianna Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2135 N Ridge Rd Ste 400, Wichita, Kansas |
| Authorized Official Name and Position | Michael C Scheve (OWNER) |
| Authorized Official Contact | 3167686444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Gianna Family Medicine Llc 2135 N Ridge Rd Ste 400 Wichita KS 67212-1406 Ph: (316) 768-6444 | St. Gianna Family Medicine Llc 2135 N Ridge Rd Ste 400 Wichita KS 67212-1404 Ph: (316) 768-6444 |
| NPI Number | 1306392394 |
|---|---|
| Provider Enumeration Date | 08/30/2016 |
| Last Update Date | 03/31/2021 |
| Medicare PECOS PAC ID | 1153618749 |
|---|---|
| Medicare Enrollment ID | O20160926001391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306392394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 05-36001 (Kansas) | Primary |
| Provider Name | Michael C Scheve |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538454905 PECOS PAC ID: 4385894435 Enrollment ID: I20130718000566 |
| Provider Name | Abby M Mckinley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518566512 PECOS PAC ID: 7416360482 Enrollment ID: I20210112001652 |
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