DR. DORY ROBERT ABOU JAOUDE (NPI# 1093930513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093930513 |
| Entity Type | Individual |
| Full Name | DR. DORY ROBERT ABOU JAOUDE |
| Credential | MD |
| Practice Address |
3311 E Murdock St Wichita KS 67208-3054 |
| Mailing Address |
Po Box 8035 Wichita KS 67208-0035 |
| Practice Telephone | 3162685000 |
| Practice Fax Number | 3162917897 |
| Mailing Telephone | 3166899135 |
| Mailing Fax Number | 3166899667 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2015-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 04-33075 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | 003719119 | 01 | |
| KS | 200565630D | 05 | |
| OK | OK MEDICAID | 200199230A | 01 |
| Street Address |
3311 E MURDOCK ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67208-3054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811987324 | Bushra Sulieman | Internal Medicine | 3311 E Murdock St, Wichita, KS 67208-3054 | 2005-10-26 |
| 1770057812 | Hannah Roth | Physician Assistant | 3311 E Murdock St, Wichita, KS 67208-3054 | 2019-01-11 |
| 1881167682 | Megan Theresa Poell | Registered Nurse | 3311 E Murdock St, Wichita, KS 67208 | 2019-01-04 |
| 1629552484 | Nichole L Fischer | Nurse Practitioner | 3311 E Murdock St, Wichita, KS 67208-3054 | 2018-09-18 |
| 1215436647 | Joshua Cody Forsberg | Nurse Practitioner | 3311 E Murdock St, Wichita, KS 67208-3054 | 2018-02-12 |
| 1619484540 | Kelsey Olson | Licensed Practical Nurse | 3311 E Murdock St, Wichita, KS 67208-3054 | 2017-12-31 |
| 1174045520 | Genevieve Jo Gutierrez Davis | Nurse Practitioner | 3311 E Murdock St, Wichita, KS 67208-3054 | 2017-07-07 |
| 1013374990 | Ascension Medical Group Via Christi, Pa | Radiology | 3311 E Murdock St, Wichita, KS 67208-3054 | 2016-01-22 |
| 1013372671 | Krista Fischer | Nurse Practitioner | 3311 E Murdock St, Wichita, KS 67208-3054 | 2015-12-28 |
| 1639544992 | Tressie Maugans | Nurse Practitioner | 3311 E Murdock St, Wichita, KS 67208-3054 | 2015-12-11 |
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| 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 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679187074 | Heartland Pulmonary and Sleep Medicine, LLC | Internal Medicine | 2600 N Woodlawn Blvd Ste A, Wichita, KS 67220-2729 | 2020-09-02 |
| 1184109803 | Restoration Health Care LLC | Internal Medicine | 1541 N Lindberg Cir, Wichita, KS 67206-6400 | 2018-09-27 |
| 1568910768 | Ict Internal Medicine & Pain Management, LLC | Internal Medicine | 8710 W 13th St N, Suite 102, Wichita, KS 67212-6254 | 2016-09-15 |
| 1831509389 | Scott Le | Internal Medicine | 2201 N Stoneybrook Cir, Wichita, KS 67226-3636 | 2014-05-06 |
| 1760756233 | Pia, LLC | Internal Medicine | 8300 E Steeplechase St, Wichita, KS 67206-4423 | 2012-03-01 |
| 1730488289 | Curtis Harley Rhoden | Internal Medicine | 1546 Lawrence Ct, Wichita, KS 67206-1133 | 2011-03-23 |
| 1609170844 | Hannah L Lai | Internal Medicine | 9449 E. 21st. St. N., Suite 200, Wichita, KS 67206-2969 | 2011-01-03 |
| 1609100668 | Chief Stats Inc | Internal Medicine | 6249 E 21st St N, Ste 120-303, Wichita, KS 67208-1861 | 2009-09-23 |
| 1861682247 | Baoluan T Nguyen | Internal Medicine | 7329 W. Village Cir, Wichita, KS 67205 | 2007-07-31 |
| 1922210624 | Tyler Hill Ternes | Internal Medicine | 551 N Hillside St Ste 320, Wichita, KS 67214-4926 | 2007-05-04 |
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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.