West Wichita Minor Emergency Office | |
8200 W Central Ave Suite 4 Wichita KS 67212-9503 | |
(316) 721-4910 | |
(316) 721-2004 |
Full Name | West Wichita Minor Emergency Office |
---|---|
Speciality | Family Medicine |
Location | 8200 W Central Ave, Wichita, Kansas |
Authorized Official Name and Position | Lori Ward (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 3167226260 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
West Wichita Minor Emergency Office 8200 W Central Ave Suite 4 Wichita KS 67212-9503 Ph: (316) 721-4910 | West Wichita Minor Emergency Office 8200 W Central Ave Suite 4 Wichita KS 67212-9503 Ph: (316) 721-4910 |
NPI Number | 1043228984 |
---|---|
Provider Enumeration Date | 08/04/2006 |
Last Update Date | 12/18/2007 |
Medicare PECOS PAC ID | 5799745717 |
---|---|
Medicare Enrollment ID | O20041014000387 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043228984 | NPI | - | NPPES |
CK4051 | Other | KS | TRAVELERS MEDICARE |
110354 | Other | KS | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Chau N Kovach |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215932512 PECOS PAC ID: 5496740706 Enrollment ID: I20040416000733 |
Provider Name | Robert Martin Mcfarland |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1851483671 PECOS PAC ID: 3870552003 Enrollment ID: I20041005000236 |
Provider Name | Kimberly Dyan Kenas |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053323972 PECOS PAC ID: 5799746020 Enrollment ID: I20041020001057 |
Provider Name | Rebecca Loree Green |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124030127 PECOS PAC ID: 4587628797 Enrollment ID: I20041117000655 |
Provider Name | Sheryl R Hemmen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730140740 PECOS PAC ID: 9335104454 Enrollment ID: I20041130000690 |
Provider Name | Dirk M Smith |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346242617 PECOS PAC ID: 5890751721 Enrollment ID: I20041202000789 |
Provider Name | Paul W Huser |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730140708 PECOS PAC ID: 2466492731 Enrollment ID: I20050505000704 |
Provider Name | Kris L Goodnight |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528070570 PECOS PAC ID: 0749223089 Enrollment ID: I20050607000955 |
Provider Name | Joe D Davison |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891803771 PECOS PAC ID: 3476581919 Enrollment ID: I20050727000313 |
Provider Name | Michael G Ludlow |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124136239 PECOS PAC ID: 7810925351 Enrollment ID: I20050727000328 |
Provider Name | Jeffrey S Reiswig |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386752434 PECOS PAC ID: 8527096064 Enrollment ID: I20050727000346 |
Provider Name | Larry A Derksen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760493779 PECOS PAC ID: 0749218295 Enrollment ID: I20050727000408 |
Provider Name | Edward J Weippert |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992813950 PECOS PAC ID: 6103854666 Enrollment ID: I20050727000475 |
Provider Name | Ronald J Reichenberger |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124136262 PECOS PAC ID: 0345278610 Enrollment ID: I20050728000239 |
Provider Name | William C Loewen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992813091 PECOS PAC ID: 6800824186 Enrollment ID: I20050728000321 |
Provider Name | David A Robl |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598873655 PECOS PAC ID: 6608804984 Enrollment ID: I20050728000345 |
Provider Name | David K Lauer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336257427 PECOS PAC ID: 3577591858 Enrollment ID: I20050728000370 |
Provider Name | Gary W Reiswig |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356459408 PECOS PAC ID: 9638107923 Enrollment ID: I20050728000425 |
Provider Name | Stan A Messner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780792804 PECOS PAC ID: 6608804992 Enrollment ID: I20050728000457 |
Provider Name | Todd A Miller |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558479675 PECOS PAC ID: 5597793885 Enrollment ID: I20050728000476 |
Provider Name | David S Kardatzke |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932111952 PECOS PAC ID: 1557399854 Enrollment ID: I20050728000530 |
Provider Name | Robert Gonzalez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457363434 PECOS PAC ID: 6204917321 Enrollment ID: I20100708000515 |
Provider Name | Ricky W Friesen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396757332 PECOS PAC ID: 4486735503 Enrollment ID: I20100708000532 |
Provider Name | Yao Y Yang |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881702751 PECOS PAC ID: 9830270958 Enrollment ID: I20100708000540 |
Provider Name | Tobie R Morrow |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720196868 PECOS PAC ID: 1759462872 Enrollment ID: I20100708000551 |
Provider Name | Mark A Hilger |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033121041 PECOS PAC ID: 7113008236 Enrollment ID: I20100708000572 |
Provider Name | Alison K Raymond |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568690022 PECOS PAC ID: 2567587967 Enrollment ID: I20100908000825 |
Provider Name | Robert K Ullom |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902034614 PECOS PAC ID: 4880710672 Enrollment ID: I20100929001253 |
Provider Name | John N May |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104054667 PECOS PAC ID: 0941470397 Enrollment ID: I20110823000519 |
Provider Name | Sara L Farmer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538597992 PECOS PAC ID: 8628207883 Enrollment ID: I20140210001464 |
Provider Name | Gretchen N Stroberg |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1134545411 PECOS PAC ID: 3173846680 Enrollment ID: I20150107002110 |
Provider Name | Cassandra R Gerlach |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790046662 PECOS PAC ID: 6305094087 Enrollment ID: I20151013001443 |
Provider Name | Erica L Shaver |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1760810907 PECOS PAC ID: 4789993585 Enrollment ID: I20151019000498 |
Provider Name | Joshua P Froese |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376980458 PECOS PAC ID: 2466696489 Enrollment ID: I20160727000865 |
Provider Name | Derek A Christensen |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1992327936 PECOS PAC ID: 4880019785 Enrollment ID: I20211007000277 |
Provider Name | Nathan D Pfeifer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750948188 PECOS PAC ID: 8224364989 Enrollment ID: I20220309000838 |
Provider Name | Andrew Kettner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164089660 PECOS PAC ID: 2668708314 Enrollment ID: I20220322002933 |
Provider Name | Anh H Nguyen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811554223 PECOS PAC ID: 0648506303 Enrollment ID: I20220322003122 |
Provider Name | Amanda M Raney |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861050148 PECOS PAC ID: 1254667918 Enrollment ID: I20220323002945 |
Provider Name | Justin M Reiswig |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427671148 PECOS PAC ID: 2668897844 Enrollment ID: I20230926002018 |
Provider Name | Lauren E Haag |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699397067 PECOS PAC ID: 1951726116 Enrollment ID: I20231002001369 |
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 |