IMMEDIATE MEDICAL CARE, P.A. (NPI# 1609289156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609289156 |
| Entity Type | Organization |
| Organization Name | IMMEDIATE MEDICAL CARE, P.A. |
| Practice Address |
4722 W Kellogg Dr Wichita KS 67209-2508 |
| Practice Telephone | 3164402565 |
| Practice Fax Number | 3164402750 |
| Mailing Telephone | 3164402565 |
| Mailing Fax Number | 3164402750 |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | DR. PAULA A WORLEY (OWNER) |
| Authorized Official Telephone | 3164402565 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
KS | Ambulatory Health Care Facilities | |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | KS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200964970A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245876184 | Immediate Medical Care, P.a. | Clinic/Center | 3560 N Maize Rd Ste 106, Wichita, KS 67205-7393 | 2019-11-26 |
| 1619395845 | Immediate Medical Care, P.a. | Clinic/Center | 5838 E Central Ave, Wichita, KS 67208-4203 | 2014-04-04 |
| 1477190999 | Immediate Medical Care, P.a. | Durable Medical Equipment & Medical Supplies | 3560 N Maize Rd Ste 106, Wichita, KS 67205-7393 | 2019-12-03 |
| 1730646373 | Immediate Medical Care, P.a. | Clinic/Center | 7030 S Broadway St, Haysville, KS 67060-1471 | 2019-03-01 |
| 1407259377 | Immediate Medical Care, P.a. | Clinic/Center | 7030 S Broadway St, Haysville, KS 67060-1471 | 2014-10-06 |
| 1073926523 | Immediate Medical Care, P.a. | Clinic/Center | 5838 E Central Ave, Wichita, KS 67208-4203 | 2014-06-03 |
| 1821260183 | Immediate Medical Care, P.a. | Clinic/Center | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2008-03-27 |
| Street Address |
4722 W KELLOGG DR |
| City | WICHITA |
| State | KS |
| Zip Code | 67209-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801876339 | L. Rosalyn Welch | Physician Assistant | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2006-01-19 |
| 1174180855 | Lauren Nicole Clausing | Physician Assistant | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2019-05-29 |
| 1801369434 | Kelly Ann Anderson | Nurse Practitioner | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2019-01-07 |
| 1174070635 | Kristen Jill Flavell | Nurse Practitioner | 4722 W Kellogg Dr, Wichita, KS 67209 | 2016-09-01 |
| 1811340615 | Desiree K Brogan | Nurse Practitioner | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2016-07-15 |
| 1154706430 | Jennifer J Frerichs | Nurse Practitioner | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2015-07-28 |
| 1255746384 | Kristin L Goetz | Registered Nurse | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2014-06-26 |
| 1023447984 | Lindsay L Forrester | Nurse Practitioner | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2013-11-01 |
| 1821260183 | Immediate Medical Care, P.a. | Clinic/Center | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2008-03-27 |
| 1578776001 | Jennifer E Edison | Physician Assistant | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2007-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634878 | Vonda Jeanne Foster | Pharmacist | 1402 S. Ridge Rd, Wichita, KS 67209 | 2020-09-18 |
| 1780290437 | Gaia R Priddle | Pharmacist | 1402 S Ridge Road, Wichita, KS 67209 | 2020-09-18 |
| 1134735889 | Thomas Allan Ruesch | Pharmacist | 1402 South Ridge Road, Wichita, KS 67209 | 2020-09-18 |
| 1619454337 | Zachary Hill | Pharmacist | 6110 W Kellogg, Wichita, KS 67209 | 2018-07-25 |
| 1922401785 | Jesse C Hidalgo Jr. | Hearing Instrument Specialist | 10318 W Maple St, Wichita, KS 67209 | 2014-10-07 |
| 1932458106 | West Wichita Assisted Living, LLC | Assisted Living Facility | 629 S. Maize Ct, Wichita, KS 67209 | 2012-09-04 |
| 1669782231 | Gracious Senior Living, LLC | Nursing Facility/Intermediate Care Facility | 551 S. Holland, Wichita, KS 67209 | 2010-10-18 |
| 1740598044 | Devin Jeanne Vrana | Chiropractor | 1247 S Tyler Rd, Wichita, KS 67209 | 2010-09-21 |
| 1881881019 | Jessica Harmon | Counselor | 501 S Turquoise St, Wichita, KS 67209 | 2007-10-02 |
| 1225246317 | Sullivan Gang Care Center | Technician | 6719 W. Douglas Circle, Wichita, KS 67209 | 2007-05-20 |
| Find all providers in zip 67209 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285292995 | Titan Durable Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 1409 W 31st St S, Wichita, KS 67217-2503 | 2019-05-29 |
| 1942767447 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 9415 E Harry St Ste P1, Wichita, KS 67207-5089 | 2019-02-21 |
| 1508339078 | Great Plains Dme, LLC | Durable Medical Equipment & Medical Supplies | 926 W Harry St, Wichita, KS 67213-4109 | 2019-01-08 |
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1922515469 | Auburn Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 5318 W Central Ave, Wichita, KS 67212-2455 | 2018-01-05 |
| 1356860126 | Strive Medical LLC | Durable Medical Equipment & Medical Supplies | 727 N Waco Ave Ste 560, Wichita, KS 67203-3986 | 2017-09-13 |
| 1215474085 | Case Baldwin Healthcare Systems, Inc. | Durable Medical Equipment & Medical Supplies | 125 S West St Ste 121, Wichita, KS 67213-2114 | 2017-01-31 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1265829055 | Total Solutions Rx, Inc | Durable Medical Equipment & Medical Supplies | 217 S Pattie Ave, Wichita, KS 67211-1720 | 2015-04-20 |
| 1295123131 | St Jude Medical | Durable Medical Equipment & Medical Supplies | 1612 N Rocky Creek Rd, Wichita, KS 67230-1720 | 2014-12-30 |
| 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.