MRS. LAQUITA PATRICE BOYEDE (NPI# 1124591185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124591185 |
| Entity Type | Individual |
| Full Name | MRS. LAQUITA PATRICE BOYEDE |
| Credential | MD |
| Practice Address |
1503 Northeast Parkway Wichita KS 67214 |
| Mailing Address |
638 South Ida Street Dynamic Medical Services LLC. Wichita KS 67211 |
| Practice Telephone | 8773403242 |
| Practice Fax Number | 3163951110 |
| Mailing Telephone | 2405051283 |
| Mailing Fax Number | 3163951110 |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
1503 NORTHEAST PARKWAY |
| City | WICHITA |
| State | KS |
| Zip Code | 67214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| 1659717023 | Paige Harwell | Surgery | 818 N Emporia St Ste 303, Wichita, KS 67214 | 2013-05-13 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285292995 | Titan Durable Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 1409 W 31st St S, Wichita, KS 67217-2503 | 2019-05-29 |
| 1942767447 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 9415 E Harry St Ste P1, Wichita, KS 67207-5089 | 2019-02-21 |
| 1508339078 | Great Plains Dme, LLC | Durable Medical Equipment & Medical Supplies | 926 W Harry St, Wichita, KS 67213-4109 | 2019-01-08 |
| 1922515469 | Auburn Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 5318 W Central Ave, Wichita, KS 67212-2455 | 2018-01-05 |
| 1356860126 | Strive Medical LLC | Durable Medical Equipment & Medical Supplies | 727 N Waco Ave Ste 560, Wichita, KS 67203-3986 | 2017-09-13 |
| 1215474085 | Case Baldwin Healthcare Systems, Inc. | Durable Medical Equipment & Medical Supplies | 125 S West St Ste 121, Wichita, KS 67213-2114 | 2017-01-31 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1265829055 | Total Solutions Rx, Inc | Durable Medical Equipment & Medical Supplies | 217 S Pattie Ave, Wichita, KS 67211-1720 | 2015-04-20 |
| 1295123131 | St Jude Medical | Durable Medical Equipment & Medical Supplies | 1612 N Rocky Creek Rd, Wichita, KS 67230-1720 | 2014-12-30 |
| 1528468105 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 9415 East Harry Street, Bldg 800, Suite P, Wichita, KS 67207 | 2014-09-02 |
| Find all providers in WICHITA | ||||
Please comment or provide details below to improve the information on MRS. LAQUITA PATRICE BOYEDE.
| 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.