ANDREA KOEGEL (NPI# 1407855901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407855901 |
| Entity Type | Individual |
| Full Name | ANDREA KOEGEL |
| Credential | M.D. |
| Practice Address |
5500 E Kellogg Dr Wichita KS 67218 |
| Mailing Address |
200 W Douglas Ave Ste 600 Wichita KS 67202-3006 |
| Practice Telephone | 3166852221 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2018-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 0431707 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200365 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2101 N Waldron St, Hutchinson, KS 675021131 | 6206692500 |
| Street Address |
5500 E KELLOGG DR |
| City | WICHITA |
| State | KS |
| Zip Code | 67218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729673 | Catherine A Toomey | Physician Assistant | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2005-06-13 |
| 1225642051 | Mark Clark | Pharmacist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2020-08-31 |
| 1598377483 | Rachel Elaine Donis | Occupational Therapist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2020-08-20 |
| 1164030060 | Jacob Michael Goeser | Optometrist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2020-07-16 |
| 1992329262 | Aimee Boriboun | Pharmacist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2020-06-02 |
| 1760012900 | Lisa Christy | Nurse Practitioner | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2020-01-15 |
| 1790324499 | Linda Walim Nola | Pharmacist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2019-12-27 |
| 1164078010 | Daniel Steven Haley | Social Worker | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2019-08-16 |
| 1790331783 | Jason Alan Jester | Social Worker | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2019-08-15 |
| 1629624770 | Emily Suzanne Stuart | Social Worker | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2019-08-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544392 | Diana Ho | Optometrist | 980 Oliver Street, Wichita, KS 67218 | 2020-07-03 |
| 1134773690 | Lily Lopez | Nurse's Aide | 5107 E Kellogg Drive, Wichita, KS 67218 | 2019-08-01 |
| 1750862512 | Kelsi Wenger | Student in an Organized Health Care Education/Training Program | 5500 E Kellog Dr, Wichita, KS 67218 | 2018-08-28 |
| 1770038937 | Hair Replacement Clinic | Specialist | 1815 S Windsor, Wichita, KS 67218 | 2016-08-17 |
| 1457757346 | South Wind Women's Centter, LLC | Clinic/Center | 5701 E Kellogg Drive, Wichita, KS 67218 | 2014-11-05 |
| 1124460787 | Teri Kitchen | Social Worker | 3414 Kinkaid, Wichita, KS 67218 | 2013-07-24 |
| 1053660142 | Glenda Rodgers-lawless, Ph.d., Lcpc, Pa | Community/Behavioral Health | 4601 E Douglas, Wichita, KS 67218 | 2012-09-05 |
| 1649541848 | Stephen Rhinehart | Registered Nurse | 5500 E Kellogg Dr., Wichita, KS 67218 | 2012-01-19 |
| 1457666927 | Recovery Services Council Inc. | Point of Service | 1611 South Rutan, Wichita, KS 67218 | 2010-08-09 |
| 1043535867 | Melissa A Weinley | Respiratory Therapist, Registered | 5500 East Kellog Dr, Wichita, KS 67218 | 2010-04-05 |
| Find all providers in zip 67218 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801260096 | Gerald Dale Nelson | Plastic Surgery | 9403 Cross Creek St (retired), Wichita, KS 67206-4086 | 2015-11-25 |
| 1457459364 | James M Shaw | Plastic Surgery | 3595 N Webb Rd, Wichita, KS 67226-8168 | 2006-09-21 |
| 1356447825 | Plastic Surgery Center, P.a. | Plastic Surgery | 1861 N Webb Rd, Wichita, KS 67206-3413 | 2006-09-15 |
| 1780611178 | Kenton W Schoonover | Plastic Surgery | 10111 E 21st St N Ste 305, Wichita, KS 67206-3581 | 2006-06-28 |
| 1255380366 | Bruce G. Ferris | Plastic Surgery | 1861 N. Webb Rd, Wichita, KS 67206-3413 | 2006-05-08 |
| 1720523251 | Kansas Plastic Surgery, LLC | Plastic Surgery | 10111 E 21st St N Ste 305, Wichita, KS 67206-3581 | 2016-12-19 |
| 1174973606 | Shaw Plastic Surgery, LLC | Plastic Surgery | 3595 N Webb Rd, Wichita, KS 67226-8168 | 2016-06-15 |
| 1245489632 | Matthew H. Conrad, Md, Pa | Plastic Surgery | 1700 Waterfront Pkwy, Bldg 200, Wichita, KS 67206-6614 | 2008-09-10 |
| 1942469812 | Joshua David Linnell | Plastic Surgery | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2008-06-05 |
| 1396895983 | Aesthetic & Plastic Surgery Pa | Plastic Surgery | 9300 E 29th St N, Wichita, KS 67226-2182 | 2007-01-12 |
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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.