KANSAS PHYSICIANS GROUP, LLC (NPI# 1629232004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629232004 |
| Entity Type | Organization |
| Organization Name | KANSAS PHYSICIANS GROUP, LLC |
| Other Organization Name | ENDOVASCULAR SPECIALISTS OF WICHITA |
| Practice Address |
2600 N Woodlawn Blvd Wichita KS 67220-2729 |
| Mailing Address |
Po Box 47163 Wichita KS 67201-7163 |
| Practice Telephone | 3166843838 |
| Practice Fax Number | 3168582077 |
| Mailing Telephone | 3168582681 |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2011-04-06 |
| Authorized Official Name | STEPHEN J. HARRIS (CEO OF GALICHIA HEART HOSPITAL) |
| Authorized Official Telephone | 3168582601 |
| Is Organization Subpart | Y |
| Parent Organization Name | GALICHIA HEART HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| JAMES AM SMITH, DO | 1619973906 | 01 |
| Other Name | Type Code |
|---|---|
| Endovascular Specialists of Wichita | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770885188 | Kansas Physicians Group, LLC | Internal Medicine | 2600 N Woodlawn Blvd, Wichita, KS 67220-2729 | 2010-11-18 |
| 1396055117 | Kansas Physicians Group, LLC | General Practice | 2600 N Woodlawn Blvd, Wichita, KS 67220-2729 | 2010-10-14 |
| 1730494048 | Kansas Physicians Group, LLC | Emergency Medicine | 2610 N Woodlawn Blvd, Wichita, KS 67220-2729 | 2010-08-11 |
| 1306151808 | Kansas Physicians Group, LLC | Internal Medicine | 2600 N Woodlawn Blvd, Wichita, KS 67220-2729 | 2010-08-10 |
| 1124344379 | Kansas Physicians Group, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2600 N Woodlawn Blvd, Wichita, KS 67220-2729 | 2010-04-13 |
| 1033435581 | Kansas Physicians Group, LLC | Psychiatry & Neurology | 9449 E 21st St N, Suite 200, Wichita, KS 67206-2969 | 2010-04-08 |
| 1831415421 | Kansas Physicians Group, LLC | Surgery | 2600 N Woodlawn Blvd, Wichita, KS 67220-2729 | 2010-04-08 |
| 1174857346 | Kansas Physicians Group, LLC | Internal Medicine | 9449 E 21st St N, Suite 200, Wichita, KS 67206-2969 | 2009-09-22 |
| Street Address |
2600 N WOODLAWN BLVD |
| City | WICHITA |
| State | KS |
| Zip Code | 67220-2729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639151020 | Charles Henry Fletcher | Physician Assistant | 2600 N Woodlawn Blvd, Wichita, KS 67220-2729 | 2005-11-19 |
| 1447628649 | Margaret Rose Fisher | Physician Assistant | 2600 N Woodlawn Blvd, Wichita, KS 67220-2729 | 2015-09-04 |
| 1174990246 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2600 N Woodlawn Blvd, Wichita, KS 67220-2729 | 2015-08-25 |
| 1982002143 | Lab One LLC | Clinical Medical Laboratory | 2600 N Woodlawn Blvd, Wichita, KS 67220-2729 | 2014-12-19 |
| 1841594892 | Age Reversal Technologies | Internal Medicine | 2600 N Woodlawn Blvd, Wichita, KS 67220-2729 | 2011-01-05 |
| 1770885188 | Kansas Physicians Group, LLC | Internal Medicine | 2600 N Woodlawn Blvd, Wichita, KS 67220-2729 | 2010-11-18 |
| 1396055117 | Kansas Physicians Group, LLC | General Practice | 2600 N Woodlawn Blvd, Wichita, KS 67220-2729 | 2010-10-14 |
| 1255648671 | Jennifer Beth Spriggs | Nurse Practitioner | 2600 N Woodlawn Blvd, Wichita, KS 67220-2729 | 2010-09-07 |
| 1306151808 | Kansas Physicians Group, LLC | Internal Medicine | 2600 N Woodlawn Blvd, Wichita, KS 67220-2729 | 2010-08-10 |
| 1124344379 | Kansas Physicians Group, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2600 N Woodlawn Blvd, Wichita, KS 67220-2729 | 2010-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909329 | Michael Jay Somma | Dentist | 2838 N. Oliver Ave, Wichita, KS 67220 | 2020-07-21 |
| 1033778915 | Sonja Nicole Holle | Speech-Language Pathologist | Wsu Speech Language Healing Clinic, 5015 E 29th St. N, Entrance T, Wichita, KS 67220 | 2019-06-13 |
| 1912562869 | Sindi Vishaj | Student in an Organized Health Care Education/Training Program | North Oliver Avenue, Wichita, KS 67220 | 2019-05-07 |
| 1972068252 | Cynthia Mccormick Richburg | Audiologist | 5015 E 29th St N Entrance T, Wsu Speech Language Hearing Clinic, Wichita, KS 67220 | 2019-01-31 |
| 1235666900 | Amanda A Ewertz | Nurse Practitioner | 3715 N. Oliver St., Wichita, KS 67220 | 2017-05-12 |
| 1255888319 | Morgan J Martin | Physician Assistant | 2610 N Woodlawn, Wichita, KS 67220 | 2016-09-07 |
| 1578811089 | Jason James | Student in an Organized Health Care Education/Training Program | 2838 N. Oliver Street, Wichita, KS 67220 | 2012-08-15 |
| 1437414430 | Daiquirie Crumrine | Speech-Language Pathologist | 5015 E. 29th Street North, 'entrance T', Wichita, KS 67220 | 2012-07-06 |
| 1790843449 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 3975 N Woodlawn Ct, Bel Aire, KS 67220 | 2006-12-05 |
| 1568402352 | Dillon Companies LLC | Pharmacy | 3707 N Woodlawn Blvd, Wichita, KS 67220 | 2006-06-08 |
| Find all providers in zip 67220 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316217110 | G. Whitney Reader Md Pa | Internal Medicine | 8110 E 32nd St N Suite 170, Wichita, KS 67226 | 2012-01-10 |
| 1871056374 | Patrick Ters, Md, Pa | Internal Medicine | 9350 E 35th St N Ste 101, Wichita, KS 67226-2022 | 2019-04-11 |
| 1588119747 | Miacare Medical Services, LLC | Internal Medicine | 3161 N Rock Rd, Suite A, Wichita, KS 67226-1452 | 2016-08-17 |
| 1801141767 | Patrick Ters | Internal Medicine | 9350 E 35th St N Ste 101, Wichita, KS 67226-2022 | 2012-07-17 |
| 1942570742 | Randee E Lipman M D P A | Internal Medicine | 1515 S Clifton Ave Ste 320, Wichita, KS 67218-2953 | 2012-01-10 |
| 1710147780 | Ali Mazhar Elkharbotly | Internal Medicine | 3311 E Murdock St, Wichita, KS 67208-3054 | 2008-06-13 |
| 1780614024 | Barry L Murphy | Internal Medicine | 3311 E Murdock St, Wichita, KS 67208-3054 | 2006-07-03 |
| 1790712875 | Michelle R Brown | Internal Medicine | 1515 S Clifton Ave, Suite 320, Wichita, KS 67218-2900 | 2006-06-26 |
| 1780610261 | Charles W Beck, Md, Pa | Internal Medicine | 1515 S Clifton Ave, Suite 201, Wichita, KS 67218-2900 | 2006-06-25 |
| 1447238621 | Galichia Medical Group, P.a. | Internal Medicine | 2600 N Woodlawn St, Wichita, KS 67220-2729 | 2006-01-06 |
| 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.