| University Of Kansas School Of Medicine Wichita Medical Practice Assoc | |
|
1001 N Minneapolis Wichita KS 67214-3199 | |
| (316) 293-2620 | |
| (316) 293-1882 |
| Full Name | University Of Kansas School Of Medicine Wichita Medical Practice Assoc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1001 N Minneapolis, Wichita, Kansas |
| Authorized Official Name and Position | Lewis Aaron Ryan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3162932620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Kansas School Of Medicine Wichita Medical Practice Assoc 1010 N Kansas Ste 3049 Wichita KS 67214-3199 Ph: (316) 293-2620 | University Of Kansas School Of Medicine Wichita Medical Practice Assoc 1001 N Minneapolis Wichita KS 67214-3199 Ph: (316) 293-2620 |
| NPI Number | 1639143712 |
|---|---|
| Provider Enumeration Date | 02/15/2006 |
| Last Update Date | 04/04/2023 |
| Medicare PECOS PAC ID | 3577464841 |
|---|---|
| Medicare Enrollment ID | O20040119000674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639143712 | NPI | - | NPPES |
| Provider Name | Melissa Hopper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821056870 PECOS PAC ID: 3577556059 Enrollment ID: I20040408000630 |
| Provider Name | Susan K Ashida Anderson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730208133 PECOS PAC ID: 1355338187 Enrollment ID: I20040426001126 |
| Provider Name | Kurt Daniel Leis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568466043 PECOS PAC ID: 8224028931 Enrollment ID: I20040514000709 |
| Provider Name | John K Forge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922109164 PECOS PAC ID: 4486624020 Enrollment ID: I20040729001291 |
| Provider Name | Elisha J Brumfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437166097 PECOS PAC ID: 6901863497 Enrollment ID: I20041216000281 |
| Provider Name | William J Salyers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417968041 PECOS PAC ID: 2466419841 Enrollment ID: I20041216001090 |
| Provider Name | Robert R Wittler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275507048 PECOS PAC ID: 8022076835 Enrollment ID: I20041227000703 |
| Provider Name | Gerard Stephen Brungardt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457382764 PECOS PAC ID: 1153389598 Enrollment ID: I20041230000666 |
| Provider Name | Sheldon H Preskorn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841252566 PECOS PAC ID: 9931150828 Enrollment ID: I20050208000922 |
| Provider Name | Donna E Sweet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982679478 PECOS PAC ID: 5496700650 Enrollment ID: I20050321000668 |
| Provider Name | Glenn J Veenstra |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285696922 PECOS PAC ID: 8123074564 Enrollment ID: I20050329000435 |
| Provider Name | Susan L Carr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720041080 PECOS PAC ID: 1052368305 Enrollment ID: I20050407001149 |
| Provider Name | Connie Mae Marsh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306808092 PECOS PAC ID: 2860439106 Enrollment ID: I20050408000584 |
| Provider Name | Garold O Minns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003882408 PECOS PAC ID: 8628015740 Enrollment ID: I20050411000874 |
| Provider Name | Wassim H Shaheen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1780625558 PECOS PAC ID: 0042253338 Enrollment ID: I20050607001330 |
| Provider Name | Donna F Ewy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518902279 PECOS PAC ID: 0749223790 Enrollment ID: I20050609001018 |
| Provider Name | Lisa H Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720015449 PECOS PAC ID: 8325082738 Enrollment ID: I20050616000542 |
| Provider Name | Scott E Moser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043263627 PECOS PAC ID: 4789620691 Enrollment ID: I20050630000820 |
| Provider Name | Mercedes J Perales |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043273246 PECOS PAC ID: 9335185263 Enrollment ID: I20050630000997 |
| Provider Name | Kerri L Weeks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467403923 PECOS PAC ID: 0840201646 Enrollment ID: I20061221000252 |
| Provider Name | Alisa J Bridge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952398042 PECOS PAC ID: 5597868224 Enrollment ID: I20070316000275 |
| Provider Name | Alisha A Sanchez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972548485 PECOS PAC ID: 1850490020 Enrollment ID: I20070628000576 |
| Provider Name | Lillian R Blue |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508907429 PECOS PAC ID: 0042302481 Enrollment ID: I20070822000233 |
| Provider Name | Jana Lincoln |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992927768 PECOS PAC ID: 0840383121 Enrollment ID: I20070831000261 |
| Provider Name | Nathan D Tofteland |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528280328 PECOS PAC ID: 5496840456 Enrollment ID: I20071005000137 |
| Provider Name | Jessica M Stumpe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558572594 PECOS PAC ID: 0446321780 Enrollment ID: I20080614000029 |
| Provider Name | Samer I Antonios |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336365816 PECOS PAC ID: 4284705021 Enrollment ID: I20080620000571 |
| Provider Name | Nicole M Klaus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033373345 PECOS PAC ID: 2769556034 Enrollment ID: I20080805000175 |
| Provider Name | Kathryn D Thiessen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497720981 PECOS PAC ID: 9436225877 Enrollment ID: I20080908000571 |
| Provider Name | Mark E Harrison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073587176 PECOS PAC ID: 5496816076 Enrollment ID: I20081202000466 |
| Provider Name | Jennifer A Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700827383 PECOS PAC ID: 3870659691 Enrollment ID: I20090303000650 |
| Provider Name | Laurie A Gwyn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043459407 PECOS PAC ID: 9032276746 Enrollment ID: I20090325000264 |
| Provider Name | Robin J Heinrichs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881843902 PECOS PAC ID: 3779635669 Enrollment ID: I20090724000035 |
| Provider Name | Ayman F Hamad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447218326 PECOS PAC ID: 4486708732 Enrollment ID: I20090820000527 |
| Provider Name | Matthew Macaluso |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417144023 PECOS PAC ID: 4981750684 Enrollment ID: I20090922000474 |
| Provider Name | Katherine J Melhorn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295709327 PECOS PAC ID: 2163567264 Enrollment ID: I20100301000377 |
| Provider Name | Jon P Schrage |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831165240 PECOS PAC ID: 1355476151 Enrollment ID: I20100318000586 |
| Provider Name | Gretchen M Irwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992732903 PECOS PAC ID: 9537231303 Enrollment ID: I20100712000726 |
| Provider Name | Rhanda Marie M Eboh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871715086 PECOS PAC ID: 5193857233 Enrollment ID: I20100724000291 |
| Provider Name | Kari R Harris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609071141 PECOS PAC ID: 1153454640 Enrollment ID: I20100804000826 |
| Provider Name | Robert G Badgett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831100353 PECOS PAC ID: 8628101706 Enrollment ID: I20100923000826 |
| Provider Name | Deborah A Alliston |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013112325 PECOS PAC ID: 6002008034 Enrollment ID: I20101008001181 |
| Provider Name | Mary Modena Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659687580 PECOS PAC ID: 1557555273 Enrollment ID: I20101027000151 |
| Provider Name | Paul A Callaway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932163755 PECOS PAC ID: 6709074941 Enrollment ID: I20110103000668 |
| Provider Name | Kristin L Jones |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1548264021 PECOS PAC ID: 8426005018 Enrollment ID: I20110303000503 |
| Provider Name | Elisha N Yaghmai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063618544 PECOS PAC ID: 6507040698 Enrollment ID: I20110414000357 |
| Provider Name | Kathrine F Girrens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861697385 PECOS PAC ID: 7719162783 Enrollment ID: I20110506000612 |
| Provider Name | Siddharthan Sivamurthy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306087317 PECOS PAC ID: 3072799105 Enrollment ID: I20110525000316 |
| Provider Name | Cynthia J Jantzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932158730 PECOS PAC ID: 1557549268 Enrollment ID: I20110629000039 |
| Provider Name | Rachna Kalia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770741548 PECOS PAC ID: 4587833587 Enrollment ID: I20110809000174 |
| Provider Name | Cassie L Scripter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326210956 PECOS PAC ID: 4880864149 Enrollment ID: I20110824000876 |
| Provider Name | Martha D Lindemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568742310 PECOS PAC ID: 6800061888 Enrollment ID: I20111203000157 |
| Provider Name | J Elizabeth Heflin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124063755 PECOS PAC ID: 9739390428 Enrollment ID: I20120119000851 |
| Provider Name | Rami A Mortada |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174720205 PECOS PAC ID: 1052445319 Enrollment ID: I20120618000677 |
| Provider Name | Ryan W Schroeder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154680023 PECOS PAC ID: 4284882481 Enrollment ID: I20120913000055 |
| Provider Name | Kari R Clouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962636944 PECOS PAC ID: 8224200050 Enrollment ID: I20121031000645 |
| Provider Name | Abigail E Reinhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922364199 PECOS PAC ID: 6507017043 Enrollment ID: I20121110000109 |
| Provider Name | Patrick L Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023304508 PECOS PAC ID: 0648421180 Enrollment ID: I20121119000493 |
| Provider Name | Tamra L Lemley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326276320 PECOS PAC ID: 3870744899 Enrollment ID: I20121121000069 |
| Provider Name | Moneeshindra S Mittal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255591442 PECOS PAC ID: 3870748254 Enrollment ID: I20130311000228 |
| Provider Name | Cheryl A Wehler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518164656 PECOS PAC ID: 2264688647 Enrollment ID: I20130723000040 |
| Provider Name | Georges C Elhomsy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952564908 PECOS PAC ID: 7517100498 Enrollment ID: I20130823001241 |
| Provider Name | Jocelyn R Zauche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356789465 PECOS PAC ID: 0840433033 Enrollment ID: I20130909000490 |
| Provider Name | Samuel Kilaho Akidiva |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447562152 PECOS PAC ID: 6608022074 Enrollment ID: I20131101000032 |
| Provider Name | Stephanie Murray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235424607 PECOS PAC ID: 4385892017 Enrollment ID: I20140708000601 |
| Provider Name | Kayla R Del Rio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487060216 PECOS PAC ID: 8921226861 Enrollment ID: I20140905001584 |
| Provider Name | Brian M Pate |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932165925 PECOS PAC ID: 0648339036 Enrollment ID: I20140922002166 |
| Provider Name | Courtney E Friesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083002984 PECOS PAC ID: 3072839844 Enrollment ID: I20150313001919 |
| Provider Name | Brent A Duran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609180157 PECOS PAC ID: 4789832858 Enrollment ID: I20150427002486 |
| Provider Name | Darine M Jamaleddine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457752602 PECOS PAC ID: 0941514160 Enrollment ID: I20150731016969 |
| Provider Name | Hannah D Bingham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912344094 PECOS PAC ID: 8921242942 Enrollment ID: I20150819008711 |
| Provider Name | Paul Muutu Ndunda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871848713 PECOS PAC ID: 7214184613 Enrollment ID: I20150901002061 |
| Provider Name | Tara L Richardson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033558820 PECOS PAC ID: 4385885441 Enrollment ID: I20160121002576 |
| Provider Name | Craig R Webb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134119571 PECOS PAC ID: 0749590511 Enrollment ID: I20160303001019 |
| Provider Name | Dee B Lochmann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821350216 PECOS PAC ID: 2769639400 Enrollment ID: I20160623002090 |
| Provider Name | Nathan S Hall |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710208251 PECOS PAC ID: 3375867187 Enrollment ID: I20160802001617 |
| Provider Name | Rachel-anne M Magsalin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669819199 PECOS PAC ID: 2365736246 Enrollment ID: I20160816001697 |
| Provider Name | Phillip K Martin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619420718 PECOS PAC ID: 3173818390 Enrollment ID: I20160825002777 |
| Provider Name | Matthew B Powell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306282785 PECOS PAC ID: 6901047604 Enrollment ID: I20160907002795 |
| Provider Name | Charles W Coffey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689016412 PECOS PAC ID: 3274767348 Enrollment ID: I20170106001827 |
| Provider Name | Mohinder Vindhyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205198967 PECOS PAC ID: 4082861976 Enrollment ID: I20170306000866 |
| Provider Name | Melissa A Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699217034 PECOS PAC ID: 0547538480 Enrollment ID: I20170616001362 |
| Provider Name | Adam Mcclure |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467870170 PECOS PAC ID: 3870862899 Enrollment ID: I20170707000890 |
| Provider Name | Tiffany E Schwasinger Schmidt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598178436 PECOS PAC ID: 3577789221 Enrollment ID: I20170720001047 |
| Provider Name | Ali S Jahansooz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184039000 PECOS PAC ID: 9830316207 Enrollment ID: I20170724001528 |
| Provider Name | Aaron D Olson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386058097 PECOS PAC ID: 0840417200 Enrollment ID: I20170725003195 |
| Provider Name | Laura M Haws |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679779789 PECOS PAC ID: 2860686615 Enrollment ID: I20170809001930 |
| Provider Name | Kirsten S Engel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861878001 PECOS PAC ID: 0648544767 Enrollment ID: I20170927003296 |
| Provider Name | Ashton B Unrein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326557935 PECOS PAC ID: 7214203926 Enrollment ID: I20171025001104 |
| Provider Name | Zohaib Sohail |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588070312 PECOS PAC ID: 3173740818 Enrollment ID: I20171129001654 |
| Provider Name | Amber D Good |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780199901 PECOS PAC ID: 3577822741 Enrollment ID: I20180116000379 |
| Provider Name | Cyrus M Munguti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235511247 PECOS PAC ID: 8325354087 Enrollment ID: I20180712001520 |
| Provider Name | Jane N Gitau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093198822 PECOS PAC ID: 9931414182 Enrollment ID: I20180713001536 |
| Provider Name | Paul R Teran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336533587 PECOS PAC ID: 6709134877 Enrollment ID: I20180806002389 |
| Provider Name | Sean Robin Pyper |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518232776 PECOS PAC ID: 4587960273 Enrollment ID: I20181008000075 |
| Provider Name | Rachel Margaret Ann Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043437759 PECOS PAC ID: 4284734104 Enrollment ID: I20181212001559 |
| Provider Name | Amanda M Maupin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194106302 PECOS PAC ID: 4385986009 Enrollment ID: I20190430000687 |
| Provider Name | Jim Zb Lu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073590337 PECOS PAC ID: 4981505211 Enrollment ID: I20190624001381 |
| Provider Name | Andrew J Ormond |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376988709 PECOS PAC ID: 2961737853 Enrollment ID: I20190715003077 |
| Provider Name | Kirsten A Bjorkman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669821799 PECOS PAC ID: 4789978438 Enrollment ID: I20190730002641 |
| Provider Name | Saba Fatima |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316398522 PECOS PAC ID: 1052648425 Enrollment ID: I20190807002608 |
| Provider Name | Susanna Ciccolari Micaldi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790190791 PECOS PAC ID: 6406072149 Enrollment ID: I20190913001833 |
| Provider Name | Hollie Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447801493 PECOS PAC ID: 5496087942 Enrollment ID: I20191101001449 |
| Provider Name | Melissa R Jefferson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972710135 PECOS PAC ID: 5496773012 Enrollment ID: I20200120000925 |
| Provider Name | Vanessa K Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942831219 PECOS PAC ID: 2466881628 Enrollment ID: I20200409000903 |
| Provider Name | Shannon L Loeck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356478762 PECOS PAC ID: 4284927187 Enrollment ID: I20200618002816 |
| Provider Name | Richard M Muraga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376072835 PECOS PAC ID: 6901177237 Enrollment ID: I20200729002529 |
| Provider Name | Kamalakar Surineni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730619776 PECOS PAC ID: 9133490220 Enrollment ID: I20210607002187 |
| Provider Name | Kyle M Rowe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588045496 PECOS PAC ID: 2567776669 Enrollment ID: I20210810000885 |
| Provider Name | Deshanett L Clay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558891358 PECOS PAC ID: 0749551067 Enrollment ID: I20210831000807 |
| Provider Name | Zachary Blackhurst |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982378527 PECOS PAC ID: 2062818214 Enrollment ID: I20210914000379 |
| Provider Name | Krista Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760055586 PECOS PAC ID: 1456759547 Enrollment ID: I20211004001531 |
| Provider Name | Sarah N Rooker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013685494 PECOS PAC ID: 3375941438 Enrollment ID: I20211005001076 |
| Provider Name | Cassie D Karlsson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740409192 PECOS PAC ID: 6406080118 Enrollment ID: I20211005001096 |
| Provider Name | Cynthia J Kibet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538671789 PECOS PAC ID: 6406112101 Enrollment ID: I20211018000166 |
| Provider Name | Matthew J Byerly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760440614 PECOS PAC ID: 1658420583 Enrollment ID: I20220202000088 |
| Provider Name | Austin G Armstrong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003474982 PECOS PAC ID: 9537497359 Enrollment ID: I20220516000715 |
| Provider Name | Kristin J Constance |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023547932 PECOS PAC ID: 7810259678 Enrollment ID: I20220609000884 |
| Provider Name | Jonathan S Burt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215421805 PECOS PAC ID: 1951650373 Enrollment ID: I20220623001934 |
| Provider Name | Christina A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023760832 PECOS PAC ID: 0648650416 Enrollment ID: I20220711002202 |
| Provider Name | Kristine M Casanova Torres |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144887605 PECOS PAC ID: 0345576096 Enrollment ID: I20220712002398 |
| Provider Name | Tanner B Dean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295393957 PECOS PAC ID: 4486980141 Enrollment ID: I20220712002410 |
| Provider Name | Elizabeth A Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992291876 PECOS PAC ID: 8729337266 Enrollment ID: I20220722001386 |
| Provider Name | Jack Staddon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952500415 PECOS PAC ID: 8921230772 Enrollment ID: I20220912000367 |
| Provider Name | Alexa P Mcgraw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639884612 PECOS PAC ID: 8022480623 Enrollment ID: I20230208000558 |
| Provider Name | Shelby N Nix |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477114445 PECOS PAC ID: 4688900335 Enrollment ID: I20230628001824 |
| Provider Name | Emalee Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336768894 PECOS PAC ID: 9931511490 Enrollment ID: I20230817003010 |
| Provider Name | Kenneth W Fraser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962060376 PECOS PAC ID: 5799011441 Enrollment ID: I20230906000728 |
| Provider Name | Maddison Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134819568 PECOS PAC ID: 1456718527 Enrollment ID: I20230920002874 |
| Provider Name | Joshua Matyi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093407223 PECOS PAC ID: 1951755859 Enrollment ID: I20230926004128 |
| Provider Name | Julia E Kononowicz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992322051 PECOS PAC ID: 1254757545 Enrollment ID: I20230928000155 |
| Provider Name | Shiwen Song |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538396726 PECOS PAC ID: 2466646278 Enrollment ID: I20240513001666 |
Form Associates, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 E Douglas Ave Fl 2, Wichita, KS 67202 Phone: 617-505-1520 | |
Primary Care Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7111 E 21st St N Ste A, Wichita, KS 67206 Phone: 316-684-2851 | |
Substance Abuse At Hunter Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2318 E Central Ave, Wichita, KS 67214 Phone: 316-262-3611 Fax: 316-262-0741 | |
Freestate Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4723 E Douglas Ave, Wichita, KS 67218 Phone: 888-505-1776 Fax: 888-505-1776 | |
Centerwell Senior Primary Care (ks) Pa - Parklane Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 961 S Glendale St, Wichita, KS 67218 Phone: 316-618-9555 | |
Robert A Sweet Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3122 N Cypress Dr, Suite 100, Wichita, KS 67226 Phone: 316-260-4747 | |
World Impact, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 E 13th St N, #400, Wichita, KS 67208 Phone: 316-682-1880 |