PARAGYN SURGICAL LLC (NPI# 1821279399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821279399 |
| Entity Type | Organization |
| Organization Name | PARAGYN SURGICAL LLC |
| Practice Address |
551 N Hillside St Ste 330 Wichita KS 67214-4926 |
| Practice Telephone | 3169627188 |
| Practice Fax Number | 3169627199 |
| Mailing Telephone | 3169627188 |
| Mailing Fax Number | 3169627199 |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2008-08-22 |
| Authorized Official Name | KEVIN E MILLER (PHYSICIAN) |
| Authorized Official Telephone | 3169627188 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Street Address |
551 N HILLSIDE ST STE 330 |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-4926 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184736118 | Rodney G Handsfield | Urology | 1130 S Clifton Ave, Wichita, KS 67218-2913 | 2006-08-31 |
| 1831118025 | Bibiano Borromeo Ouano Jr. | Urology | 1431 Bluffview St Ste 216, Wichita, KS 67218-3039 | 2006-07-19 |
| 1457319519 | Larry I Frank | Urology | 5500 East Kellogg Dr, Robert J Dole Va Medical Center, Wichita, KS 67218-9937 | 2006-05-01 |
| 1679565337 | John M Donovan | Urology | 3243 E Murdock St Ste 500, Wichita, KS 67208 | 2005-08-18 |
| 1427050079 | Fadi N Joudi | Urology | 2626 N Webb Rd, Wichita, KS 67226-8110 | 2005-08-12 |
| 1760825137 | Jonathan Andrew Jensen | Urology | 2626 N Webb Rd, Wichita, KS 67226-8110 | 2013-04-16 |
| 1194952143 | Surendra Kolla | Urology | 3311 E Murdock St, Wichita, KS 67208-3054 | 2009-06-17 |
| 1760641476 | Clay Earl Lyddane | Urology | 3311 E Murdock St, Wichita, KS 67208-3054 | 2008-06-06 |
| 1083895494 | Christel Orphee Wambi- Kiesse | Urology | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2007-11-14 |
| 1417169889 | The Prostate Treatment Center | Urology | 1130 S Clifton Ave, Wichita, KS 67218-2913 | 2007-05-05 |
| 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.