WESLEY MEDICAL CENTER LLC (NPI# 1467409185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467409185 |
| Entity Type | Organization |
| Organization Name | WESLEY MEDICAL CENTER LLC |
| Other Organization Name | WESLEY CLINIC |
| Practice Address |
620 N Carriage Pkwy Wichita KS 67208-4501 |
| Mailing Address |
Po Box 47490 Wichita KS 67201-7490 |
| Practice Telephone | 3169623100 |
| Practice Fax Number | 3169623164 |
| Mailing Telephone | 3169623150 |
| Mailing Fax Number | 3169627334 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | CHERYL A BOLTON (CLINIC DIRECTOR) |
| Authorized Official Telephone | 3169627087 |
| Is Organization Subpart | Y |
| Parent Organization Name | WESLEY MEDICAL CENTER LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100327110F | 05 | |
| KS | 100327110G | 05 | |
| KS | BCBS OF KANSAS | 110453 | 01 |
| Other Name | Type Code |
|---|---|
| Wesley Clinic | 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 |
| 1295833275 | Wesley Medical Center LLC | Internal Medicine | 550 N Hillside, Wichita, KS 67214 | 2006-09-21 |
| 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 |
| 1588632145 | Wesley Medical Center LLC | Pediatrics | 550 N Hillside St, Wichita, KS 67214-4910 | 2006-03-09 |
| Street Address |
620 N CARRIAGE PKWY |
| City | WICHITA |
| State | KS |
| Zip Code | 67208-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265437123 | Kathy A Hewett | Nurse Practitioner | 620 N Carriage Pkwy, Wichita, KS 67208-4501 | 2005-06-16 |
| 1689226417 | Maura Julianne Woolsey | Dietitian, Registered | 620 N Carriage Pkwy, Wichita, KS 67208-4501 | 2019-07-11 |
| 1184110322 | Larissa E Dunn | Dietitian, Registered | 620 N Carriage Pkwy, Wichita, KS 67208-4501 | 2018-07-10 |
| 1770075244 | Alice Arensdorf | Dietitian, Registered | 620 N Carriage Pkwy, Wichita, KS 67208-4501 | 2018-05-31 |
| 1477052629 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 620 N Carriage Pkwy, Wichita, KS 67208-4501 | 2018-02-02 |
| 1326557935 | Ashton Baily Unrein | Nurse Practitioner | 620 N Carriage Pkwy, Wichita, KS 67208-4501 | 2017-09-26 |
| 1366870164 | Kerry May Nantsis | Nurse Practitioner | 620 N Carriage Pkwy, Wichita, KS 67208-4501 | 2013-10-15 |
| 1831530757 | Elizabeth F Leon | Social Worker | 620 N Carriage Pkwy, Wichita, KS 67208-4501 | 2013-07-08 |
| 1225324783 | Teolinda Milsap | Pediatrics | 620 N Carriage Pkwy, Wichita, KS 67208-4501 | 2011-06-23 |
| 1982997656 | Sarah Martling | Nurse Practitioner | 620 N Carriage Pkwy, Wichita, KS 67208-4501 | 2011-05-27 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 67208 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239412 | K S Pediatrics LLC | Pediatrics | 6505 E Central Ave Ste 183, Wichita, KS 67206-1924 | 2020-06-11 |
| 1184281131 | Kansas Pediatric Neurology Center LLC | Pediatrics | 10111 E 21st St N Ste 405, Wichita, KS 67206-3508 | 2019-05-24 |
| 1407242241 | Vigilias LLC | Pediatrics | 4704 E Oakland, Wichita, KS 67218-1180 | 2015-04-08 |
| 1639339344 | Tuan Nguyen | Pediatrics | 10100 E Shannon Woods St Ste 108, Wichita, KS 67226-4104 | 2008-06-16 |
| 1659592582 | Jamie Hannah Woo Page | Pediatrics | 8725 E 32nd St N, Wichita, KS 67226-4008 | 2007-05-01 |
| 1508907429 | Lillian Rojo Blue | Pediatrics | 550 N Hillside St Bldg 16th, Ku Wichita Pediatrics, Wichita, KS 67214-4910 | 2007-02-12 |
| 1558454686 | Conrado M Agustin Jr. | Pediatrics | 162 N Hillside St, Wichita, KS 67214-4919 | 2006-10-02 |
| 1790718534 | John G Dupuis | Pediatrics | 14700 W Saint Teresa St Ste 210, Wichita, KS 67235-9601 | 2006-07-07 |
| 1124063755 | J Elizabeth Heflin | Pediatrics | 848 N Saint Francis St Ste 3901, Wichita, KS 67214 | 2006-06-18 |
| 1912950684 | Arun G Kumar | Pediatrics | 162 N Hillside, Wichita, KS 67214 | 2006-05-17 |
| 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.