KANSAS VASCULAR MEDICINE, P.A.


Address: 6130 E Central Ave Ste 117, Wichita, KS 67208-4238
Phone: 3164250516

KANSAS VASCULAR MEDICINE, P.A. (NPI# 1417347857) 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) 1417347857
Entity Type Organization
Organization Name KANSAS VASCULAR MEDICINE, P.A.
Practice Address 6130 E Central Ave Ste 117
Wichita
KS 67208-4238
Practice Telephone 3164250516
Mailing Telephone 3164250516
Enumeration Date 2015-01-23
Last Update Date 2015-01-23
Authorized Official Name JAMES AM SMITH (OWNER)
Authorized Official Telephone 3164250516
Authorized Official Credential D.O.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
0522570 KS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KS BCBSKS 133628 01

Office Location

Street Address 6130 E CENTRAL AVE STE 117
City WICHITA
State KS
Zip Code 67208-4238

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NPI Name Taxonomy Address Enumeration
1598316218 Wesley Urgent Care, LLC Clinic/Center 2060 N. Mid Campus Dr., Wichita, KS 67208 2019-09-24
1023574209 Unified Care Homes, Inc. Custodial Care Facility 5705 E Rockhill, Wichita, KS 67208 2019-02-13
1164940730 Donita Hock Occupational Therapy Assistant 622 N. Edgemoor St., Wichita, KS 67208 2017-09-05
1427439546 Mental Health Association of Sck Community/Behavioral Health 555 N Woodlawn, S 3105, Wichita, KS 67208 2015-06-15
1013311430 Adrian Matta Occupational Therapy Assistant 1915 Farmstead Street, Wichita, KS 67208 2014-10-14
1700285343 Stephanie Kendrick Physical Therapist 4921 E. 21st Street North, Wichita, KS 67208 2014-08-20
1689087942 Apeksha Sathyaprasad Pediatrics 3243 E Murdock St Ste 402, Wichita, KS 67208 2014-06-04
1437418019 J. W, Leisy M.d.p.a. Psychiatry & Neurology 3310 East Douglas #101, Wichita, KS 67208 2012-05-16
1184993156 College Hill-ltc LLC Skilled Nursing Facility 5005 East 21st Street North, Wichita, KS 67208 2011-12-21
1255616132 Thane M Vaneaton Pharmacist 3333 East Central, Wichita, KS 67208 2011-10-11
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1760839179 Matthew A. Butler, Md, Pa Internal Medicine 9350 E 35th St N, Suite 101, Wichita, KS 67226-2019 2016-05-17
Find all providers in WICHITA

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City WICHITA
Zip Code 67208

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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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