| Wesley Physicians Medical Specialties Llc | |
|
2600 N Woodlawn Blvd Wichita KS 67220-2729 | |
| (316) 260-1690 | |
| (303) 584-8141 |
| Full Name | Wesley Physicians Medical Specialties Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2600 N Woodlawn Blvd, Wichita, Kansas |
| Authorized Official Name and Position | John Rebok (VP) |
| Authorized Official Contact | 6153725004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wesley Physicians Medical Specialties Llc 2000 Health Park Dr Brentwood TN 37027-4692 Ph: (615) 373-7600 | Wesley Physicians Medical Specialties Llc 2600 N Woodlawn Blvd Wichita KS 67220-2729 Ph: (316) 260-1690 |
| NPI Number | 1699069732 |
|---|---|
| Provider Enumeration Date | 06/07/2011 |
| Last Update Date | 01/02/2023 |
| Medicare PECOS PAC ID | 1355509886 |
|---|---|
| Medicare Enrollment ID | O20120229000737 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699069732 | NPI | - | NPPES |
| 200770630A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Rhea A Rogers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881699643 PECOS PAC ID: 6901701549 Enrollment ID: I20031205000275 |
| Provider Name | Thalia J Lopez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073518825 PECOS PAC ID: 5193620748 Enrollment ID: I20031205000310 |
| Provider Name | Randolph R Whitely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659324200 PECOS PAC ID: 3971495664 Enrollment ID: I20040326001293 |
| Provider Name | Melissa Hopper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821056870 PECOS PAC ID: 3577556059 Enrollment ID: I20040408000630 |
| Provider Name | Kirk R Bliss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043224603 PECOS PAC ID: 5193713428 Enrollment ID: I20040504001556 |
| Provider Name | Anthony G Pollock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972576254 PECOS PAC ID: 8628059151 Enrollment ID: I20040528000928 |
| Provider Name | Sharon K Breit |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659335404 PECOS PAC ID: 3173507704 Enrollment ID: I20040614000374 |
| Provider Name | Elizabeth J Kroeker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669568531 PECOS PAC ID: 0446236533 Enrollment ID: I20040629000273 |
| Provider Name | Phillip F Hagan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013955053 PECOS PAC ID: 0446237895 Enrollment ID: I20040702000441 |
| Provider Name | Kurt A Kauffman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922119221 PECOS PAC ID: 7517932023 Enrollment ID: I20040828000198 |
| Provider Name | Dawne A Lowden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568414944 PECOS PAC ID: 9931175585 Enrollment ID: I20040907000203 |
| Provider Name | Lynn R Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083615447 PECOS PAC ID: 8729056114 Enrollment ID: I20040923000225 |
| Provider Name | Michael W Treweeke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508845082 PECOS PAC ID: 0547239998 Enrollment ID: I20041001000277 |
| Provider Name | Mark H Bowles |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902884224 PECOS PAC ID: 6406825884 Enrollment ID: I20041001000483 |
| Provider Name | Gregory Boxberger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972581205 PECOS PAC ID: 3678478575 Enrollment ID: I20041001001016 |
| Provider Name | Robert R Wittler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275507048 PECOS PAC ID: 8022076835 Enrollment ID: I20041227000703 |
| Provider Name | William A Waswick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447226980 PECOS PAC ID: 6608829189 Enrollment ID: I20050418001002 |
| Provider Name | Bruce R Buhr |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780610386 PECOS PAC ID: 6406896810 Enrollment ID: I20050505000185 |
| Provider Name | Lindall E Smith |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790712107 PECOS PAC ID: 1759323512 Enrollment ID: I20050523000993 |
| Provider Name | Clifford S Depew |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114038544 PECOS PAC ID: 0042253932 Enrollment ID: I20050601001081 |
| Provider Name | Donna F Ewy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518902279 PECOS PAC ID: 0749223790 Enrollment ID: I20050609001018 |
| Provider Name | Edward J Lind |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316956055 PECOS PAC ID: 6103860291 Enrollment ID: I20050620000698 |
| Provider Name | Mary C Boyce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699729731 PECOS PAC ID: 0749226652 Enrollment ID: I20050630000763 |
| Provider Name | Carl M Christman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538116629 PECOS PAC ID: 5496791063 Enrollment ID: I20050705000918 |
| Provider Name | Kimberly Anne Molik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164422622 PECOS PAC ID: 5395771109 Enrollment ID: I20050713000466 |
| Provider Name | Edmond G Feuille |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033166152 PECOS PAC ID: 6709815889 Enrollment ID: I20050809000620 |
| Provider Name | Cindy B Daugherty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003873449 PECOS PAC ID: 8527025287 Enrollment ID: I20051101000599 |
| Provider Name | Aaron D Sinclair |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871603191 PECOS PAC ID: 4486669108 Enrollment ID: I20060215000848 |
| Provider Name | James A Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619973906 PECOS PAC ID: 2062468283 Enrollment ID: I20060221000071 |
| Provider Name | Dhanunjaya Reddy Lakkireddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023067881 PECOS PAC ID: 9739155227 Enrollment ID: I20060802000436 |
| Provider Name | Bradley W Bruner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548208176 PECOS PAC ID: 8729065123 Enrollment ID: I20060818000509 |
| Provider Name | Natalie R Sollo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093715880 PECOS PAC ID: 3072517630 Enrollment ID: I20060913000206 |
| Provider Name | Melissa J Hague |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467462812 PECOS PAC ID: 2961408398 Enrollment ID: I20061009000120 |
| Provider Name | Richard Toon |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679533392 PECOS PAC ID: 8729180526 Enrollment ID: I20070226000374 |
| Provider Name | Emily K Webb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265654677 PECOS PAC ID: 3678672409 Enrollment ID: I20070620000206 |
| Provider Name | Zachary C Kuhlmann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174744734 PECOS PAC ID: 6608975362 Enrollment ID: I20070620000504 |
| Provider Name | Bradley C Daily |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114050093 PECOS PAC ID: 4385736727 Enrollment ID: I20070815000493 |
| Provider Name | Gretchen J Homan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972729523 PECOS PAC ID: 0345320263 Enrollment ID: I20080104000463 |
| Provider Name | James R Whiddon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952310120 PECOS PAC ID: 7012095771 Enrollment ID: I20080421000402 |
| Provider Name | Kevin Everette Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679567127 PECOS PAC ID: 0749295087 Enrollment ID: I20080708000115 |
| Provider Name | Nicole M Klaus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033373345 PECOS PAC ID: 2769556034 Enrollment ID: I20080805000175 |
| Provider Name | Tarun Bhargava |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952527442 PECOS PAC ID: 8820172067 Enrollment ID: I20080814000766 |
| Provider Name | Mark E Harrison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073587176 PECOS PAC ID: 5496816076 Enrollment ID: I20081202000466 |
| Provider Name | Valarie L Kerschen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922072073 PECOS PAC ID: 9436206075 Enrollment ID: I20090416000383 |
| Provider Name | Melissa A Hodge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962600379 PECOS PAC ID: 4789734054 Enrollment ID: I20090608000259 |
| Provider Name | Steven B Allen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760544118 PECOS PAC ID: 3274566831 Enrollment ID: I20100107000674 |
| Provider Name | Kerri A Hild |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235359209 PECOS PAC ID: 9830220037 Enrollment ID: I20100702000402 |
| Provider Name | Gretchen M Irwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992732903 PECOS PAC ID: 9537231303 Enrollment ID: I20100712000726 |
| Provider Name | Gerald B Schaefer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225089204 PECOS PAC ID: 1658439658 Enrollment ID: I20100717000190 |
| Provider Name | Kari R Harris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609071141 PECOS PAC ID: 1153454640 Enrollment ID: I20100804000826 |
| Provider Name | Hilary E Rainbolt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174744841 PECOS PAC ID: 8527192368 Enrollment ID: I20100817000011 |
| Provider Name | Judy A Rafter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326359001 PECOS PAC ID: 9436283082 Enrollment ID: I20100818000019 |
| Provider Name | Jacqueline M Morgan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295837904 PECOS PAC ID: 2062546542 Enrollment ID: I20100819000490 |
| Provider Name | Beryl F Yaghmai |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437354818 PECOS PAC ID: 1456475532 Enrollment ID: I20100825001135 |
| Provider Name | Christina M Nicholas |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1871714824 PECOS PAC ID: 6002932423 Enrollment ID: I20100923000037 |
| Provider Name | Deborah A Alliston |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013112325 PECOS PAC ID: 6002008034 Enrollment ID: I20101008001181 |
| Provider Name | David P Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891750378 PECOS PAC ID: 9638362536 Enrollment ID: I20101025000194 |
| Provider Name | Laura C Whisler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689802159 PECOS PAC ID: 3375724552 Enrollment ID: I20110221000933 |
| Provider Name | Renee A Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649577404 PECOS PAC ID: 3173705183 Enrollment ID: I20110314000064 |
| Provider Name | Jennifer B Spriggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255648671 PECOS PAC ID: 5092998880 Enrollment ID: I20110401000309 |
| Provider Name | Siddharthan Sivamurthy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306087317 PECOS PAC ID: 3072799105 Enrollment ID: I20110525000316 |
| Provider Name | Angela S Holdeman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447455993 PECOS PAC ID: 6709054547 Enrollment ID: I20110721000127 |
| Provider Name | Cassie L Scripter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326210956 PECOS PAC ID: 4880864149 Enrollment ID: I20110824000876 |
| Provider Name | Hannah Lai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609170844 PECOS PAC ID: 7719964899 Enrollment ID: I20120307000254 |
| Provider Name | Ashley S Robbins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699932541 PECOS PAC ID: 3870758535 Enrollment ID: I20120702000076 |
| Provider Name | Bradley M Saunders |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588971436 PECOS PAC ID: 0749459279 Enrollment ID: I20120803000064 |
| Provider Name | Kari E Hamlin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972761740 PECOS PAC ID: 5496902371 Enrollment ID: I20120828000782 |
| Provider Name | Stephanie A Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891044376 PECOS PAC ID: 0345499950 Enrollment ID: I20120925000496 |
| Provider Name | Christopher D Klouzek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386872067 PECOS PAC ID: 7012167364 Enrollment ID: I20121022000543 |
| Provider Name | Janna M Chibry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316175870 PECOS PAC ID: 3870749229 Enrollment ID: I20130614000532 |
| Provider Name | Stefanie M Kempke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982832432 PECOS PAC ID: 5395992424 Enrollment ID: I20130802000746 |
| Provider Name | Jocelyn R Zauche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356789465 PECOS PAC ID: 0840433033 Enrollment ID: I20130909000490 |
| Provider Name | Kerry May Nantsis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366870164 PECOS PAC ID: 6406089176 Enrollment ID: I20140502001775 |
| Provider Name | Jackson L Sobbing |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265753719 PECOS PAC ID: 6204082670 Enrollment ID: I20140610001417 |
| Provider Name | Stephanie Murray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235424607 PECOS PAC ID: 4385892017 Enrollment ID: I20140708000601 |
| Provider Name | Cristine A Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821407917 PECOS PAC ID: 2961620422 Enrollment ID: I20140825001161 |
| Provider Name | Teolinda A Milsap |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225324783 PECOS PAC ID: 7618125345 Enrollment ID: I20141118000539 |
| Provider Name | Gwendolyn Y Warwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124417258 PECOS PAC ID: 0446578017 Enrollment ID: I20150410000096 |
| Provider Name | Damen W Hershberger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023308939 PECOS PAC ID: 2466675715 Enrollment ID: I20150721002754 |
| Provider Name | Tessa Elizabeth Rohrberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295097681 PECOS PAC ID: 8426205980 Enrollment ID: I20151026001061 |
| Provider Name | Jennifer E Thuener |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316268592 PECOS PAC ID: 0143478255 Enrollment ID: I20151228000777 |
| Provider Name | Taylor Bertschy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528329364 PECOS PAC ID: 7113174244 Enrollment ID: I20160624000346 |
| Provider Name | Danielle M Villalobos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043656143 PECOS PAC ID: 9436390309 Enrollment ID: I20160706001953 |
| Provider Name | Elizabeth Beltran Carranza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861623985 PECOS PAC ID: 4082908801 Enrollment ID: I20160802001601 |
| Provider Name | Nathan S Hall |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710208251 PECOS PAC ID: 3375867187 Enrollment ID: I20160802001617 |
| Provider Name | Desiree K Brogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811340615 PECOS PAC ID: 9537453139 Enrollment ID: I20160804000892 |
| Provider Name | Matthew B Powell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306282785 PECOS PAC ID: 6901047604 Enrollment ID: I20160907002795 |
| Provider Name | Apeksha Sathyaprasad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689087942 PECOS PAC ID: 4385912138 Enrollment ID: I20170620000662 |
| Provider Name | Jennifer L Pharris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508020165 PECOS PAC ID: 4688842040 Enrollment ID: I20170724001780 |
| Provider Name | Laura M Haws |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679779789 PECOS PAC ID: 2860686615 Enrollment ID: I20170809001930 |
| Provider Name | Nataliya Biskup |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1225353014 PECOS PAC ID: 8022380708 Enrollment ID: I20170815002665 |
| Provider Name | Serina R Padilla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275948010 PECOS PAC ID: 1052538568 Enrollment ID: I20170925002222 |
| 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 | Colleen V Loo-gross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427314426 PECOS PAC ID: 7618284969 Enrollment ID: I20180409000305 |
| Provider Name | Simon P Patton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497042444 PECOS PAC ID: 7911127410 Enrollment ID: I20180713001667 |
| Provider Name | Lauren B Ferrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518345537 PECOS PAC ID: 2365755303 Enrollment ID: I20181107001309 |
| Provider Name | Holly E Montgomery |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356723035 PECOS PAC ID: 5092029132 Enrollment ID: I20190624000288 |
| Provider Name | Maggie L Woods |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144601030 PECOS PAC ID: 7113231267 Enrollment ID: I20190711000412 |
| Provider Name | Locke D Uppendahl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356606016 PECOS PAC ID: 7810144680 Enrollment ID: I20190717002420 |
| Provider Name | Monica C Quinn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114260676 PECOS PAC ID: 4587966817 Enrollment ID: I20190805001718 |
| Provider Name | Melissa R Jefferson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972710135 PECOS PAC ID: 5496773012 Enrollment ID: I20200120000925 |
| Provider Name | Saundra M Kay |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598756454 PECOS PAC ID: 8921191131 Enrollment ID: I20200403001637 |
| Provider Name | Steven S Rothenberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295726024 PECOS PAC ID: 7012989692 Enrollment ID: I20200403001802 |
| Provider Name | Vanessa K Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942831219 PECOS PAC ID: 2466881628 Enrollment ID: I20200409000903 |
| Provider Name | Nisha Agasthya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588070130 PECOS PAC ID: 4688005556 Enrollment ID: I20200508000684 |
| Provider Name | Alexandra J Meloccaro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366971145 PECOS PAC ID: 3173894409 Enrollment ID: I20210428001318 |
| Provider Name | Kristen Y Giefer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780109686 PECOS PAC ID: 2769756097 Enrollment ID: I20210623003166 |
| Provider Name | Jordan R Meyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245769025 PECOS PAC ID: 8820369150 Enrollment ID: I20210712001133 |
| Provider Name | Carla Burford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336677392 PECOS PAC ID: 3971874298 Enrollment ID: I20210729001810 |
| Provider Name | Charis Noteboom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831628635 PECOS PAC ID: 5395016620 Enrollment ID: I20210825002381 |
| 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 | Shelly Sherice Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568124311 PECOS PAC ID: 1658765136 Enrollment ID: I20220225001970 |
| Provider Name | Erin Marie Hageman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992281778 PECOS PAC ID: 2264828789 Enrollment ID: I20220411001531 |
| Provider Name | Rajesh Kabra |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1144231820 PECOS PAC ID: 9032193479 Enrollment ID: I20220711001977 |
| Provider Name | Christina A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023760832 PECOS PAC ID: 0648650416 Enrollment ID: I20220711002202 |
| Provider Name | Douglas Darden |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346653698 PECOS PAC ID: 7618358128 Enrollment ID: I20220714003247 |
| Provider Name | Elizabeth A Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992291876 PECOS PAC ID: 8729337266 Enrollment ID: I20220722001386 |
| Provider Name | Taryn L Schuknecht |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932692068 PECOS PAC ID: 3173872587 Enrollment ID: I20220802002323 |
| Provider Name | Monica Rebekah Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376272856 PECOS PAC ID: 3870977655 Enrollment ID: I20220827000354 |
| Provider Name | Jack Staddon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952500415 PECOS PAC ID: 8921230772 Enrollment ID: I20220912000367 |
| Provider Name | Joseph Saffold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285292482 PECOS PAC ID: 6103152863 Enrollment ID: I20220923002018 |
| Provider Name | Julie Long |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255435996 PECOS PAC ID: 1557547023 Enrollment ID: I20221006001066 |
| Provider Name | Vanessa Anne Ring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477896918 PECOS PAC ID: 5496032914 Enrollment ID: I20221017001551 |
| Provider Name | Ana Do |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891958310 PECOS PAC ID: 1850563040 Enrollment ID: I20230207000380 |
| Provider Name | Nicholas O Huff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326469438 PECOS PAC ID: 6709156789 Enrollment ID: I20230424000173 |
| Provider Name | Grace Aurore Nicksa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528242294 PECOS PAC ID: 6507167301 Enrollment ID: I20230627001357 |
| Provider Name | Shauna Lindstedt Easterday |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730746249 PECOS PAC ID: 4284960931 Enrollment ID: I20230711001946 |
| Provider Name | Lauren Wilding |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376109694 PECOS PAC ID: 6507195013 Enrollment ID: I20230711003899 |
| Provider Name | Elaine Fan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598297178 PECOS PAC ID: 5991076572 Enrollment ID: I20230901000176 |
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 |