ADVANCED WOUND CARE & PLASTIC SURGERY CENTER, LLC (NPI# 1730322736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730322736 |
| Entity Type | Organization |
| Organization Name | ADVANCED WOUND CARE & PLASTIC SURGERY CENTER, LLC |
| Practice Address |
902 N Hillside St Wichita KS 67214-3220 |
| Practice Telephone | 3164255016 |
| Practice Fax Number | 3164250422 |
| Mailing Telephone | 3164255016 |
| Mailing Fax Number | 3164250422 |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2013-11-07 |
| Authorized Official Name | DR. JEREMY TAMIR (PHYSICIAN/PRESIDENT) |
| Authorized Official Telephone | 3162018573 |
| Authorized Official Credential | MD, FAPWCA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 04-32928 | KS | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | INDIVIDUAL NPI | 1871749663 | 01 |
| Street Address |
902 N HILLSIDE ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-3220 |
| 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 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063873354 | Advanced Mens Health, LLC | Specialist | 3460 N Ridge Road #90, Wichita, KS 67205-1222 | 2016-03-14 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1619317740 | Teresa M Vincent | Specialist | 12605 E Lincoln Ct, Wichita, KS 67207-7016 | 2013-07-03 |
| 1043563349 | South Wind Women's Center, LLC | Specialist | 5101 E Kellogg Dr, Wichita, KS 67218-1625 | 2012-10-24 |
| 1386923209 | Emotional Journey, LLC | Specialist | 2604 West 9th Street North, Suite 205, Wichita, KS 67203-4792 | 2011-08-09 |
| 1780981712 | Jessica Ostrye | Specialist | 1748 N Payne Ave, Wichita, KS 67203-2823 | 2011-02-28 |
| 1770888364 | Megan Camiell Young | Specialist | 2114 N 127th St E, Wichita, KS 67206-3003 | 2011-01-13 |
| 1023277977 | Todd A. Brown, M.d., P.a. | Specialist | 1515 S Clifton Ave Ste 215, Wichita, KS 67218-2958 | 2008-06-05 |
| 1063583862 | Comprehensive Adult Medicine, Pa | Specialist | 1355 North West Street, Wichita, KS 67203-1303 | 2006-11-13 |
| 1801987359 | Kenneth L. Hull | Specialist | 4358 Spyglass Court, Wichita, KS 67226 | 2006-09-28 |
| 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.