PODIATRY CLINIC, P.A. (NPI# 1043419625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043419625 |
| Entity Type | Organization |
| Organization Name | PODIATRY CLINIC, P.A. |
| Practice Address |
400 N Woodlawn St Ste 211 Wichita KS 67208-4332 |
| Practice Telephone | 3166853801 |
| Practice Fax Number | 3166856901 |
| Mailing Telephone | 3166853801 |
| Mailing Fax Number | 3166856901 |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2013-12-13 |
| Authorized Official Name | DR. LARRY K MCNEIL (PRESIDENT) |
| Authorized Official Telephone | 3166853801 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 12-00142 | KS | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | RRMEDICARE | 480029429 | 01 |
| KS | 100094390B | 05 |
| Street Address |
400 N WOODLAWN ST STE 211 |
| City | WICHITA |
| State | KS |
| Zip Code | 67208-4332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316218 | Wesley Urgent Care, LLC | Clinic/Center | 2060 N. Mid Campus Dr., Wichita, KS 67208 | 2019-09-24 |
| 1023574209 | Unified Care Homes, Inc. | Custodial Care Facility | 5705 E Rockhill, Wichita, KS 67208 | 2019-02-13 |
| 1164940730 | Donita Hock | Occupational Therapy Assistant | 622 N. Edgemoor St., Wichita, KS 67208 | 2017-09-05 |
| 1427439546 | Mental Health Association of Sck | Community/Behavioral Health | 555 N Woodlawn, S 3105, Wichita, KS 67208 | 2015-06-15 |
| 1013311430 | Adrian Matta | Occupational Therapy Assistant | 1915 Farmstead Street, Wichita, KS 67208 | 2014-10-14 |
| 1700285343 | Stephanie Kendrick | Physical Therapist | 4921 E. 21st Street North, Wichita, KS 67208 | 2014-08-20 |
| 1689087942 | Apeksha Sathyaprasad | Pediatrics | 3243 E Murdock St Ste 402, Wichita, KS 67208 | 2014-06-04 |
| 1437418019 | J. W, Leisy M.d.p.a. | Psychiatry & Neurology | 3310 East Douglas #101, Wichita, KS 67208 | 2012-05-16 |
| 1184993156 | College Hill-ltc LLC | Skilled Nursing Facility | 5005 East 21st Street North, Wichita, KS 67208 | 2011-12-21 |
| 1255616132 | Thane M Vaneaton | Pharmacist | 3333 East Central, Wichita, KS 67208 | 2011-10-11 |
| Find all providers in zip 67208 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003354424 | Midwestern Podiatry Services LLC | Podiatrist | 1740 N Fairview Ave, Suite 200, Wichita, KS 67203-2573 | 2017-02-06 |
| 1487847000 | Ed R Elkouri | Podiatrist | 1515 S Clifton Ave Ste 440, Wichita, KS 67218-2954 | 2007-08-27 |
| 1922114222 | Leroy Stucky | Podiatrist | 5311 E Central, Wichita, KS 67208-4131 | 2006-08-21 |
| 1306815709 | Donald D Yoder | Podiatrist | 3010 W Central Ave, Wichita, KS 67203-4910 | 2006-03-16 |
| 1083601009 | Benjamin Watson Weaver | Podiatrist | 2081 N Webb Rd, Wichita, KS 67206-3411 | 2005-10-04 |
| 1649267683 | Thomas Daniel Truong | Podiatrist | 3460 N Ridge Rd Ste 140, Wichita, KS 67205-1223 | 2005-10-04 |
| 1467453779 | Larry K. Mcneil | Podiatrist | 400 N Woodlawn St, Suite 211, Wichita, KS 67208-4338 | 2005-08-09 |
| 1922001551 | Frank K Galbraith | Podiatrist | 758 S Hillside St, Ste 2, Wichita, KS 67211-3020 | 2005-05-27 |
| 1720241821 | Miki Matsuda | Podiatrist | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2008-07-08 |
| 1982630422 | Joseph R Lickteig | Podiatrist | 758 S Hillside St, Wichita, KS 67211-3020 | 2006-06-25 |
| Find all providers in WICHITA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.