WICHITA NEPHROLOGY GROUP, PA


Address: 2122 N Garnett St, Wichita, KS 67206-3023
Phone: 3166361234

WICHITA NEPHROLOGY GROUP, PA (NPI# 1396238010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396238010
Entity Type Organization
Organization Name WICHITA NEPHROLOGY GROUP, PA
Other Organization Name REVASK SURGERY CENTER LLC
Practice Address 2122 N Garnett St
Wichita
KS 67206-3023
Mailing Address 818 N Emporia St Ste 310
Wichita
KS 67214-3727
Practice Telephone 3166361234
Practice Fax Number 3166362630
Mailing Telephone 3162635891
Mailing Fax Number 3162633083
Enumeration Date 2018-06-07
Last Update Date 2018-10-16
Authorized Official Name WISSAM SALIBA (DIRECTOR)
Authorized Official Telephone 3162635891
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name WICHITA NEPHROLOGY GROUP, PA

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
04-35548 KS Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Renal Vascular Access & Surgicenter of Kansas Doing Business As Name - Organization
ReVask Surgery Center LLC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1104877810 Wichita Nephrology Group, Pa Internal Medicine 818 N Emporia St, Suite 310, Wichita, KS 67214 2006-05-15

Office Location

Street Address 2122 N GARNETT ST
City WICHITA
State KS
Zip Code 67206-3023

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760020846 Founders Surgery Center, LLC Clinic/Center 1961 N Founders Circle, Wichita, KS 67206 2019-12-19
1174006613 Courtney Dawn Simon Physical Therapist 9360 E Central Ave Ste 100, Wichita, KS 67206 2018-09-11
1902308919 Center At Waterfront LLC Skilled Nursing Facility 1541 North Lindberg Circle, Wichita, KS 67206 2018-03-06
1750804597 Katelyn Aguiar Psychologist 250 N Rock Rd Ste 210, Wichita, KS 67206 2017-07-24
1457888778 Mona Kay Cherryholmes Social Worker 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 2017-05-17
1164899415 Elizabeth Herl Marriage & Family Therapist 250 N Rock Rd Ste 150, Wichita, KS 67206 2015-08-21
1851715510 Ndjj Corp Custodial Care Facility 6403 E Marjore, Wichita, KS 67206 2014-02-14
1801238217 Courtney Ann Lang Physical Therapist 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 2013-07-26
1194063032 Peak Performance Health Pa Chiropractor 10111 E 21st St, #106, Wichita, KS 67206 2013-01-28
1750629002 Rachel Marie Conrad Speech-Language Pathologist 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 2013-01-22
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760020846 Founders Surgery Center, LLC Clinic/Center 1961 N Founders Circle, Wichita, KS 67206 2019-12-19
1457757346 South Wind Women's Centter, LLC Clinic/Center 5701 E Kellogg Drive, Wichita, KS 67218 2014-11-05
1811262363 Precision Surgery Center, LLC Clinic/Center 1857 N. Webb Road, Wichita, KS 67206 2012-03-16
1356488837 Ridgewood Surgery and Endoscopy Center LLC Clinic/Center 4013 North Ridge Road, Wichita, KS 67205-8822 2007-01-31
1205862984 Endoscopic Services, P.a. Clinic/Center 1431 Bluffview St Ste 215, Wichita, KS 67218-3039 2006-06-24
1659327245 Cosmetic & Reconstructive Surgery Center, Pa Clinic/Center 1700 N Waterfront Pkwy, Building 200, Wichita, KS 67206-6614 2006-05-25
1073581880 Ambulatory Surgery Center Lp Clinic/Center 818 N Emporia, Ste 108, Wichita, KS 67214 2006-03-08
1295119584 Wichita Asc Lp Clinic/Center 3555 North Webb Rd., Suite B, Wichita, KS 67226 2015-07-16
1336547421 Associated Eye Surgical Center LLC Clinic/Center 1100 N Topeka St, Wichita, KS 67214-2810 2014-12-05
1164742565 Kansas Joint & Spine Institute Clinic/Center 10100 Shannon Woods St, Wichita, KS 67226-4103 2010-06-08
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Competitor

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City WICHITA
Zip Code 67206

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Dataset Information

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.

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