CHARLES HENRY FLETCHER (NPI# 1639151020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639151020 |
| Entity Type | Individual |
| Full Name | CHARLES HENRY FLETCHER |
| Credential | PA-C |
| Practice Address |
2600 N Woodlawn Blvd Wichita KS 67220-2729 |
| Practice Telephone | 3166843838 |
| Practice Fax Number | 3168582521 |
| Mailing Telephone | 3166843838 |
| Mailing Fax Number | 3168582530 |
| Enumeration Date | 2005-11-19 |
| Last Update Date | 2014-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
15-00518 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100340590H | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518932730 | Charles Michael Fletcher | Optometrist | 1817 Executive Sq, Jonesboro, AR 72401-6086 | 2006-02-21 |
| 1871771444 | Charles Jonathan Fletcher | Nurse Anesthetist, Certified Registered | 800 Rose St, Lexington, KY 40536-0293 | 2008-02-06 |
| 1093775231 | Charles T. Fletcher Jr. | Orthopaedic Surgery | 454 Taylor Rd, Montgomery, AL 36117-3563 | 2006-03-23 |
| Street Address |
2600 N WOODLAWN BLVD |
| City | WICHITA |
| State | KS |
| Zip Code | 67220-2729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1831415421 | Kansas Physicians Group, LLC | Surgery | 2600 N Woodlawn Blvd, Wichita, KS 67220-2729 | 2010-04-08 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1255888319 | Morgan J Martin | Physician Assistant | 2610 N Woodlawn, Wichita, KS 67220 | 2016-09-07 |
| 1437409901 | Crystal A Nelson | Physician Assistant | 9350 E 35th St N, Ste 101, Wichita, KS 67226 | 2012-09-12 |
| 1578847182 | Wellness Strategies LLC | Physician Assistant | 6224 East Shadybrook St., Wichita, KS 67208 | 2011-09-30 |
| 1346378460 | Gretchen H Waite | Physician Assistant | 1515 S Clifton Ave Ste 450, Wichita, KS 67218-2954 | 2007-03-01 |
| 1023153012 | James W Strickler | Physician Assistant | 2600 N. Woodlawn, Wichita, KS 67220-2729 | 2007-02-20 |
| 1730288861 | Kathryn S. Wolfe-wappelhorst | Physician Assistant | 2750 S Roosevelt St, Hunter Health Brookside Clinic, Wichita, KS 67210-1304 | 2006-09-22 |
| 1235242298 | Sarah Lindsey | Physician Assistant | 2716 W.central, Wichita, KS 67203-4904 | 2006-08-16 |
| 1013927342 | Paul Medina | Physician Assistant | 1911 W 21st St N, Wichita, KS 67203-2106 | 2006-08-09 |
| 1700809498 | Jennifer Smith | Physician Assistant | 8020 E Central Ave Ste 200, Wichita, KS 67206-2382 | 2006-07-25 |
| 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.