CHARLES TYLER DICK (NPI# 1750793048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750793048 |
| Entity Type | Individual |
| Full Name | CHARLES TYLER DICK |
| Credential | CRNA |
| Practice Address |
929 N Saint Francis St Wichita KS 67214-3821 |
| Mailing Address |
Po Box 2897 Wichita KS 67201-2897 |
| Practice Telephone | 3162685000 |
| Practice Fax Number | 3162914272 |
| Mailing Telephone | 8003745326 |
| Mailing Fax Number | 8003747656 |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 13111340012 | KS | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 557291 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 149634 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982249488 | Charles Wayne Dick Jr. | Massage Therapist | 1400 Battleground Ave Ste 120d, Greensboro, NC 27408-8038 | 2019-11-08 |
| 1003249392 | Charles Leon Dick Jr. | Student in an Organized Health Care Education/Training Program | 711 N East Ave, Apt E6, Tahlequah, OK 74464-2407 | 2013-08-09 |
| 1639263882 | Charles Dick | Psychiatry & Neurology | 100 Rockford Drive, Newark, DE 19713 | 2006-10-03 |
| Street Address |
929 N SAINT FRANCIS ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-3821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982609293 | Moin A Shaikh | Internal Medicine | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2005-06-15 |
| 1356808869 | Jason Allen Steimle | Registered Nurse | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2019-02-21 |
| 1497229462 | Thomas Ryan Ambrose | Physical Therapist | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2019-01-14 |
| 1992279939 | Keriann Shaw | Physical Therapist | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2019-01-13 |
| 1689147779 | Shelsea Lies | Occupational Therapist | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2019-01-10 |
| 1518430602 | Jessica Domnick | Speech-Language Pathologist | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2019-01-10 |
| 1851867709 | Johnny Huy Nguyen | Emergency Medicine | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2018-10-18 |
| 1326522632 | Jennifer R Geisler | Physician Assistant | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2018-09-21 |
| 1649750654 | Edward Michael Asebedo | Radiology | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2018-08-19 |
| 1497234934 | Hospitalist Medicine Physicians of Kansas -tcg, LLC | Internal Medicine | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2018-08-07 |
| Find all providers in the same location | ||||
| 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 | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245740018 | Kansas Endoscopy LLC | Nurse Anesthetist, Certified Registered | 3121 N Webb Rd Ste 107, Wichita, KS 67226-8119 | 2017-10-06 |
| 1467755413 | Tamara Lynette Rothenberger | Nurse Anesthetist, Certified Registered | 1515 S Clifton Ave Ste 200, Wichita, KS 67218-2958 | 2010-12-14 |
| 1285966689 | Ryan Vincent Berland | Nurse Anesthetist, Certified Registered | 11628 W Nantucket St, Wichita, KS 67212-6938 | 2010-02-10 |
| 1528226206 | Amy Michelle King | Nurse Anesthetist, Certified Registered | 556 N Oakwood Dr, Wichita, KS 67208-4227 | 2008-05-29 |
| 1013100221 | Janet L Miller | Nurse Anesthetist, Certified Registered | 3450 N Rock Rd Ste 208, Wichita, KS 67226-1352 | 2007-08-21 |
| 1538239850 | Andrea Marie Jack | Nurse Anesthetist, Certified Registered | 224 E Douglas Ave, Suite 400, Wichita, KS 67202-3423 | 2006-11-08 |
| 1316957780 | Mary Leahy | Nurse Anesthetist, Certified Registered | 731 N Mclean Blvd, Wichita, KS 67203-4986 | 2006-08-09 |
| 1013952126 | Ophthalmic Anesthesia Team Pa | Nurse Anesthetist, Certified Registered | 6100 East Central, Ste 5, Wichita, KS 67212 | 2006-06-20 |
| 1699719393 | David Milton Adamson | Nurse Anesthetist, Certified Registered | 5800 East Kellogg Ave, Bob Dole Va Hospital, Wichita, KS 67218 | 2006-06-15 |
| 1003853300 | Jill C Gallagher | Nurse Anesthetist, Certified Registered | 8330 E Overbrook St, Wichita, KS 67206-2326 | 2006-06-02 |
| 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.