DR. GROVER DEAN HERSHBERGER (NPI# 1619022126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619022126 |
| Entity Type | Individual |
| Full Name | DR. GROVER DEAN HERSHBERGER |
| Credential | DO |
| 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 | 2007-01-24 |
| Last Update Date | 2012-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 0518775 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100234360F | 05 |
| 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 |
| 1609289156 | Immediate Medical Care, P.a. | Clinic/Center | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2014-06-03 |
| 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 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417400235 | Medexpress Urgent Care Kansas, P.a. | Emergency Medicine | 1261 N Maize Road, Wichita, KS 67212-4302 | 2016-07-28 |
| 1063751352 | Runway Emergency Physicians LLC | Emergency Medicine | 8714 W 13th St N, Wichita, KS 67212-6221 | 2013-02-06 |
| 1417018201 | Kevin W Brinker | Emergency Medicine | 111 S Ridgecrest St, Wichita, KS 67218 | 2006-12-13 |
| 1639117724 | Gail A Bayliss | Emergency Medicine | 1115 N Cypress St, Wichita, KS 67206-4058 | 2006-06-02 |
| 1437197605 | Robert Stangl | Emergency Medicine | 929 N Saint Francis St # Er, Wichita, KS 67214-3821 | 2006-06-02 |
| 1083693634 | Aly A Gadalla | Emergency Medicine | 9449 E 21st St N, Suite 200, Wichita, KS 67206-2969 | 2006-01-12 |
| 1255313300 | Todd Aspegren | Emergency Medicine | 1405 Krug Cir, Wichita, KS 67230-1706 | 2005-11-15 |
| 1265431860 | John R Whitehead | Emergency Medicine | 2610 N Woodlawn Blvd, Wichita, KS 67220-2729 | 2005-07-18 |
| 1215405931 | Clinton Shriner | Emergency Medicine | 550 N Hillside St, Wichita, KS 67214-4910 | 2018-11-12 |
| 1861901076 | Lindsey Wright | Emergency Medicine | 550 N Hillside St, Wichita, KS 67214-4910 | 2017-09-20 |
| 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.