WESLEY MEDICAL CENTER LLC (NPI# 1295833275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295833275 |
| Entity Type | Organization |
| Organization Name | WESLEY MEDICAL CENTER LLC |
| Other Organization Name | WESLEY CARDIOLOGY |
| Practice Address |
550 N Hillside Wichita KS 67214 |
| Mailing Address |
Po Box 47490 Wichita KS 67201 |
| Practice Telephone | 3169623150 |
| Practice Fax Number | 3169627334 |
| Mailing Telephone | 3169623150 |
| Mailing Fax Number | 3169627334 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | CHERYL A BOLTON (PATIENT ACCOUNTS MANAGER) |
| Authorized Official Telephone | 3169623205 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS OF KANSAS | 111202 | 01 |
| KS | 100327110N | 05 |
| Other Name | Type Code |
|---|---|
| Wesley Cardiology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679541627 | Wesley Medical Center LLC | Family Medicine | 850 N Hillside St, Wichita, KS 67214-4914 | 2006-03-08 |
| 1215364161 | Wesley Medical Center LLC | Pharmacy | 2828 N Governeour St, Suite 120, Wichita, KS 67226-1700 | 2013-10-08 |
| 1417235912 | Wesley Medical Center LLC | Clinic/Center | 11120 E 26th St N, Suite 1400, Wichita, KS 67226-4548 | 2011-08-01 |
| 1912052630 | Wesley Medical Center LLC | Pediatrics | 550 N Hillside St, Bldg 1 5th Floor, Wichita, KS 67214-4910 | 2007-01-24 |
| 1871691311 | Wesley Medical Center LLC | Clinical Medical Laboratory | 550 N Hillside St, Wichita, KS 67214-4910 | 2006-09-20 |
| 1447299649 | Wesley Medical Center LLC | General Acute Care Hospital | 550 N Hillside St, Wichita, KS 67214-4910 | 2006-06-05 |
| 1467409185 | Wesley Medical Center LLC | Obstetrics & Gynecology | 620 N Carriage Pkwy, Wichita, KS 67208-4501 | 2006-05-28 |
| 1588632145 | Wesley Medical Center LLC | Pediatrics | 550 N Hillside St, Wichita, KS 67214-4910 | 2006-03-09 |
| Street Address |
550 N HILLSIDE |
| City | WICHITA |
| State | KS |
| Zip Code | 67214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427040617 | Andrea L Davis | Anesthesiology | 550 N Hillside, Wichita, KS 67214 | 2005-08-16 |
| 1336533587 | Paul Rafael Teran | Pediatrics | 550 N Hillside, Wichita, KS 67214 | 2015-03-26 |
| 1588070130 | Nisha Agasthya | Pediatrics | 550 N Hillside, Wesley Medical Center/picu, Wichita, KS 67214 | 2014-07-03 |
| 1023395571 | Lynna Toy | Nurse Practitioner | 550 N Hillside, Wichita, KS 67214-4910 | 2011-11-11 |
| 1003902826 | Kathryn M Filby | Nurse Practitioner | 550 N Hillside, Wichita, KS 67214 | 2006-10-05 |
| 1861587636 | Diana J Fusselman | Nurse Practitioner | 550 N Hillside, Wichita, KS 67214 | 2006-10-04 |
| 1063508778 | Keri B Flowers | Nurse Practitioner | 550 N Hillside, Wichita, KS 67214 | 2006-10-04 |
| 1679594907 | Jeanne L Wescoat | Nurse Anesthetist, Certified Registered | 550 N Hillside, Wichita, KS 67214 | 2006-07-21 |
| 1720007404 | Timothy M Gronlie | Radiology | 550 N Hillside, Wichita, KS 67214-4910 | 2006-07-19 |
| 1245202332 | Andrea L Strecker | Nurse Anesthetist, Certified Registered | 550 N Hillside, Wichita, KS 67214 | 2006-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 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 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1417347857 | Kansas Vascular Medicine, P.a. | Internal Medicine | 6130 E Central Ave Ste 117, Wichita, KS 67208-4238 | 2015-01-23 |
| 1114234101 | James Clinton Mershon | Internal Medicine | 7617 E Donegal St, Wichita, KS 67206-1613 | 2010-09-12 |
| 1417077272 | Richard B Bloom | Internal Medicine | 3730 N Ridge Rd Ste 200, Kansas Endovascular Medicine Associates, Wichita, KS 67205-1228 | 2007-03-29 |
| 1316013469 | Eecp Heart Center of Kansas Inc | Internal Medicine | 551 N Hillside St Ste 130, Wichita, KS 67214-4924 | 2006-11-28 |
| 1588646236 | Daniel Ryan Alvarez | Internal Medicine | 1515 S Clifton Ave Ste 320, Wichita, KS 67218-2953 | 2005-11-17 |
| 1063419109 | Jaime R Melean | Internal Medicine | 1431 Bluffview St, Ste 112, Wichita, KS 67218-3039 | 2005-07-05 |
| 1386640233 | Charles W Beck | Internal Medicine | 3535 N Webb Rd, Wichita, KS 67226-8127 | 2005-06-24 |
| 1194721951 | Dan A Francisco Md Pa | Internal Medicine | 1515 S Clifton Ave, Ste 150, Wichita, KS 67218-2957 | 2005-06-24 |
| 1619973906 | James A.m. Smith | Internal Medicine | 925 N Hillside St, Wichita, KS 67214-3219 | 2005-06-22 |
| 1710472162 | Christian A. Hourani, Md, Pa | Internal Medicine | 9350 E 35th St N Ste 101, Wichita, KS 67226-2022 | 2018-06-28 |
| 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.