MEGHAN ELIZABETH JORGENSEN (NPI# 1629610076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629610076 |
Entity Type | Individual |
Full Name | MEGHAN ELIZABETH JORGENSEN |
Credential | APRN |
Practice Address |
550 N Hillside St Wichita KS 67214-4910 |
Mailing Address |
4411 N Jill St Maize KS 67101-9022 |
Practice Telephone | 3169628500 |
Practice Fax Number | 3169628572 |
Mailing Telephone | 3167061538 |
Mailing Fax Number | 3169628572 |
Enumeration Date | 2019-10-16 |
Last Update Date | 2019-10-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
79045 | KS | Allopathic & Osteopathic Physicians |
Street Address |
550 N HILLSIDE ST |
City | WICHITA |
State | KS |
Zip Code | 67214-4910 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770586570 | Debra D Hermes | Physician Assistant | 550 N Hillside St, Wichita, KS 67214-4910 | 2005-05-24 |
1255939161 | Sarah Elizabeth Hosp | Nurse Anesthetist, Certified Registered | 550 N Hillside St, Wichita, KS 67214-4910 | 2020-10-13 |
1962000273 | Forward Pathology Solutions Wichita, LLC | Pathology | 550 N Hillside St, Wichita, KS 67214-4910 | 2020-10-09 |
1073110326 | Amanda Marie Schraeger | Nurse Practitioner | 550 N Hillside St, Wichita, KS 67214-4910 | 2020-10-08 |
1942822655 | Katelynn Marie Doran | Pharmacist | 550 N Hillside St, Wichita, KS 67214-4976 | 2020-05-15 |
1316569072 | Christina Marie Brummett | Pharmacist | 550 N Hillside St, Wichita, KS 67214-4976 | 2020-05-15 |
1215579883 | Taci Jo Wendler | Registered Nurse | 550 N Hillside St, Wichita, KS 67214-4910 | 2019-10-15 |
1023659190 | Julie Lu | Physician Assistant | 550 N Hillside St, Wichita, KS 67214-4910 | 2019-09-30 |
1669023131 | Brittany Elizabeth Roberts | Nurse Practitioner | 550 N Hillside St, Wichita, KS 67214-4910 | 2019-09-25 |
1528610342 | Jessica Erbst | Dietitian, Registered | 550 N Hillside St, Wichita, KS 67214-4910 | 2019-07-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
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Taxonomy Code | 2080N0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Neonatal-Perinatal Medicine |
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
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/certification - 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 |
---|---|---|---|---|
1346347051 | Pediatrix Medical Group of Kansas Pa | Pediatrics | 550 N Hillside Ave, Wichita, KS 67214-4910 | 2006-09-17 |
1629073812 | Philippe Samson | Pediatrics | 3600 E Harry St, Wichita, KS 67218-3713 | 2005-06-15 |
1144644303 | Shubika D'souza | Pediatrics | 550 N Hillside St, Wichita, KS 67214-4910 | 2014-02-08 |
1588868145 | Cynthia Elizabeth Strand-smart | Pediatrics | 3600 E Harry St, Wichita, KS 67218-3713 | 2007-06-14 |
1912059205 | William Randall Reed | Pediatrics | 550 N Hillside St, Wichita, KS 67214-4910 | 2007-01-17 |
1174562920 | Carolyn K Johnson | Pediatrics | 550 N Hillside St, Wichita, KS 67214-4910 | 2006-06-06 |
1992758601 | Robert Hsiao | Pediatrics | 550 N Hillside St, Wichita, KS 67214-4910 | 2006-05-17 |
1750349734 | Taysir Shash | Pediatrics | 3600 E Harry St, Wichita, KS 67218-3713 | 2006-05-01 |
1043274566 | Barry Theil Bloom | Pediatrics | 550 N Hillside St, Wesley Department of Neonatology, Wichita, KS 67214-4910 | 2006-04-13 |
1336102821 | Curtis Caylor Dorn | Pediatrics | 550 N Hillside St, Department of Neonatology, Wichita, KS 67214-4910 | 2006-04-07 |
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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.