MEDISOURCE HEALTHCARE SOLUTIONS, INC (NPI# 1619354438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619354438 |
| Entity Type | Organization |
| Organization Name | MEDISOURCE HEALTHCARE SOLUTIONS, INC |
| Practice Address |
6245 W Kollmeyer Ct Wichita KS 67205-5278 |
| Practice Telephone | 3162630776 |
| Practice Fax Number | 3162630818 |
| Mailing Telephone | 3162630776 |
| Mailing Fax Number | 3162630818 |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |
| Authorized Official Name | JULIE FRAZIER (OWNER) |
| Authorized Official Telephone | 3162630776 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Street Address |
6245 W KOLLMEYER CT |
| City | WICHITA |
| State | KS |
| Zip Code | 67205-5278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295211910 | Emily M Chastain | Dentist | 3213 N. Ridge Rd, Wichita, KS 67205 | 2018-07-16 |
| 1811415466 | Awaken Psychology LLC | Clinic/Center | 2552 N Maize Ct Suite 600, Wichita, KS 67205 | 2017-09-05 |
| 1962940288 | Moc Wichita LLC | Assisted Living Facility | 7057 W Village Circle, Wichita, KS 67205 | 2017-02-07 |
| 1003362732 | Moc Wichita, LLC | Assisted Living Facility | 7057 West Village Circle, Wichita, KS 67205 | 2016-09-01 |
| 1649637653 | Abigail Friend | Audiologist-Hearing Aid Fitter | 2558 Lake Way Circle, Wichita, KS 67205 | 2016-01-21 |
| 1134505399 | Myles Davidson | Dentist | 3510 N Ridge Rd Ste 500, Wichita, KS 67205 | 2015-08-10 |
| 1093121097 | The Eye Gallery, LLC | Optometrist | 3084 N. Maize Rd, Wichita, KS 67205 | 2014-07-10 |
| 1922428721 | Sam's West, Inc. | Technician/Technologist | 3084 N. Maize Road, Witchita, KS 67205 | 2014-04-18 |
| 1447693627 | Caryn Rana Landreth | Social Worker | 3114 N Brush Creek St, Wichita, KS 67205 | 2013-04-08 |
| 1902182686 | Return To Motion Medical | Durable Medical Equipment & Medical Supplies | 3221 N Ridge Port Circle, Wichita, KS 67205 | 2011-10-26 |
| Find all providers in zip 67205 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205267945 | Vicki Daniel | Contractor | 1421 W Marlboro St, Wichita, KS 67217-2435 | 2013-12-05 |
| 1114070778 | Thaddeus M Alexander | Contractor | 12521 W Kenny Cir, Wichita, KS 67235-1956 | 2007-01-18 |
| 1023480035 | Rachel Zarich | Contractor | 560 N Exposition St, Wichita, KS 67203-5902 | 2015-10-29 |
| 1366704629 | Davita Dialysis | Contractor | 909 N Topeka St, Wichita, KS 67214-3620 | 2012-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912530650 | Jacqueline Doris Lindsay | Contractor | 1430 Sw Topeka Blvd, Topeka, Kansas 66612, Topeka, KS 66601-6660 | 2020-02-21 |
| 1356884548 | Angie Harmon | Contractor | 4952 W 130th Ter, Leawood, KS 66209-1855 | 2016-11-21 |
| 1891243622 | Pamela J Black | Contractor | 903 N 3rd Ave, Minneapolis, KS 67467-1705 | 2016-09-21 |
| 1154724821 | Elizabeth Hazell | Contractor | 2021 S Apache St, Olathe, KS 66062-2979 | 2014-10-08 |
| 1558787895 | Cynthia Wingert | Contractor | 11309 W 60th St, Shawnee, KS 66203-2721 | 2014-03-11 |
| 1023444981 | Hong U. Ishaku | Contractor | 2904 Crestline Dr, Lawrence, KS 66047-3065 | 2013-09-23 |
| 1477988111 | Keturah Mary Katherine Dunlap | Contractor | 3923 Lloyd St, Kansas City, KS 66103-2828 | 2013-09-12 |
| 1306181433 | Leslie E Laemmli | Contractor | 15635 Beverly St, Overland Park, KS 66223-3482 | 2012-11-29 |
| 1619242435 | Jenna K Springer | Contractor | 2633 Butterfield Rd, Manhattan, KS 66502-4463 | 2012-03-12 |
| 1942516463 | Westport Plaza Pain Management, Inc. | Contractor | 3408 Rainbow Ext, Kansas City, KS 66103-2081 | 2010-08-20 |
| Find all providers with the same taxonomy | ||||
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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.