| Westglen Gastrointestinal Consultants Pa | |
|
7230 Renner Rd Shawnee KS 66217-9901 | |
| (913) 962-2122 | |
| (913) 969-2242 |
| Full Name | Westglen Gastrointestinal Consultants Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 7230 Renner Rd, Shawnee, Kansas |
| Authorized Official Name and Position | Mark A Molos (PRESIDENT) |
| Authorized Official Contact | 9139622122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westglen Gastrointestinal Consultants Pa 7230 Renner Rd Shawnee KS 66217-9901 Ph: (913) 962-2122 | Westglen Gastrointestinal Consultants Pa 7230 Renner Rd Shawnee KS 66217-9901 Ph: (913) 962-2122 |
| NPI Number | 1073607974 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 01/04/2010 |
| Medicare PECOS PAC ID | 8628019338 |
|---|---|
| Medicare Enrollment ID | O20050512000598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073607974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Ervin Y Eaker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427007764 PECOS PAC ID: 1759271927 Enrollment ID: I20060131000370 |
| Provider Name | Mark Alan Molos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427036797 PECOS PAC ID: 7012821127 Enrollment ID: I20061102000563 |
| Provider Name | Charles Phillip Pattison |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295746543 PECOS PAC ID: 3971547423 Enrollment ID: I20100714000374 |
| Provider Name | Michael F Thompson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689767535 PECOS PAC ID: 3375580947 Enrollment ID: I20200514000421 |
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