LINE DIAGNOSTICS INC (NPI# 1376507590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376507590 |
| Entity Type | Organization |
| Organization Name | LINE DIAGNOSTICS INC |
| Practice Address |
630 S Hillside St Wichita KS 67211-2157 |
| Mailing Address |
Po Box 47259 Wichita KS 67201 |
| Practice Telephone | 3164915926 |
| Practice Fax Number | 3164915962 |
| Mailing Telephone | 3164915926 |
| Mailing Fax Number | 3164915962 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2010-08-27 |
| Authorized Official Name | DR. LYLE F ZEPICK (DOCTOR) |
| Authorized Official Telephone | 3164915926 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BLUE CROSS BLUE SHIELD OF KANSAS | 110727 | 01 |
| KS | RAILROAD MEDICARE | CJ7951 | 01 |
| KS | 100414870A | 05 |
| Street Address |
630 S HILLSIDE ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67211-2157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457417370 | Lyle Zepick, M.d. P.a. | Internal Medicine | 630 S Hillside St, Wichita, KS 67211-2157 | 2006-12-28 |
| 1932268265 | Joseph E Lemlek | Internal Medicine | 630 S Hillside St, Wichita, KS 67211-2157 | 2006-12-06 |
| 1346294808 | Lyle Zepick | Specialist | 630 S Hillside St, Wichita, KS 67211-2157 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162683 | Karlee Dawn Gluszek | Specialist/Technologist | 1947 S Lulu St, Wichita, KS 67211 | 2017-09-07 |
| 1780139659 | Jaclyn Blyholder | Dentist | 639 S. Hillside, Wichita, KS 67211 | 2016-08-22 |
| 1356715379 | Revitalize Physical Therapy LLC | Physical Therapist | 227 S Ida St, Wichita, KS 67211 | 2015-11-16 |
| 1750753232 | Accurate Sleep Lab | Clinical Medical Laboratory | 411 S Pattie St Suite 2, Wichita, KS 67211 | 2015-10-23 |
| 1841628013 | Joseph Michael Stech | Family Medicine | 940 S. St. Francis, Guadalupe Clinic, Wichita, KS 67211 | 2013-10-24 |
| 1902166648 | Debby Elwood | Counselor | 830 S. Hillside, Wichita, KS 67211 | 2012-05-28 |
| 1205038726 | Patricia (pat) J. Eagleman | Social Worker | 333 S. Greenwood, Wichita, KS 67211 | 2007-06-05 |
| 1114147717 | Rodolfo A Argosino Md Pa | Family Medicine | 1148 S Hillside, 106, Wichita, KS 67211 | 2007-04-26 |
| 1801911086 | Susan Wright Rockley | Physical Therapist | 2535 East Lincoln, Wichita, KS 67211 | 2007-03-20 |
| 1578618021 | Dependable Assisted Living | Home Health | 401 S Greenwood St, Wichita, KS 67211 | 2007-01-24 |
| Find all providers in zip 67211 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205335551 | Elias O Bernard | Radiology | 6505 E Central Ave Ste 208, Wichita, KS 67206-1924 | 2018-02-01 |
| 1760627616 | Gdx, P.a. | Radiology | 6120 Shadybrook St, Wichita, KS 67208-1862 | 2008-12-06 |
| 1609940675 | Wayne Mason | Radiology | 701 N Preston Trl, Wichita, KS 67230-1525 | 2006-11-20 |
| 1629162326 | Great Plains Imaging, LLC | Radiology | 8925 W Maple St, Wichita, KS 67209-1462 | 2006-10-03 |
| 1841209236 | Paul L Rodriguez | Radiology | 4713 N Portwest Cir, Wichita, KS 67204-2356 | 2006-08-05 |
| 1225034614 | Claudia A Lawn | Radiology | 144 S Hillside St, Wichita, KS 67211-2154 | 2005-06-22 |
| 1013913490 | Akash C. Joshi | Radiology | 551 N Hillside St, Ste 320, Wichita, KS 67214-4926 | 2005-06-22 |
| 1790321479 | Anthony Francis Harrison | Radiology | 929 N Saint Francis Ave, Wichita, KS 67214-3821 | 2019-11-18 |
| 1255894580 | Jimmy Rong | Radiology | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2019-04-12 |
| 1750843157 | Kyle A Kirkover | Radiology | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2019-04-03 |
| 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.