ELEVEN-TWELVE COMPANY (NPI# 1831310119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831310119 |
| Entity Type | Organization |
| Organization Name | ELEVEN-TWELVE COMPANY |
| Other Organization Name | KANSAS CARDIAC CLINIC |
| Practice Address |
1144 N Saint Francis St Wichita KS 67214-2814 |
| Practice Telephone | 3162670159 |
| Practice Fax Number | 3162673601 |
| Mailing Telephone | 3162670159 |
| Mailing Fax Number | 3162673601 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2010-01-12 |
| Authorized Official Name | MR. RAUL ALVAREZ (ADMINISTRATOR) |
| Authorized Official Telephone | 3162670159 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 04-23137 | KS | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1710969548 | 01 | |
| KS | 100402610C | 05 | |
| NPI | 1366520686 | 01 | |
| KS | 100236410C | 05 | |
| NPI | 1588646236 | 01 | |
| KS | 100197170A | 05 | |
| NPI | 1073595815 | 01 | |
| KS | 100083020A | 05 | |
| KS | 100158960B | 05 | |
| NPI | 1811979644 | 01 |
| Other Name | Type Code |
|---|---|
| Kansas Cardiac Clinic | Doing Business As Name - Organization |
| Street Address |
1144 N SAINT FRANCIS ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-2814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811979644 | Suleman Sadiq | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1144 N Saint Francis St, Wichita, KS 67214-2814 | 2005-11-17 |
| 1831402486 | Vanessa Mclure | Nurse Practitioner | 1144 N Saint Francis St, Wichita, KS 67214-2814 | 2010-07-23 |
| 1871827139 | West Wichita Medical Clinic Pa | Clinic/Center | 1144 N Saint Francis St, Wichita, KS 67214-2814 | 2009-09-18 |
| 1750539201 | Pronab K Sensarma Md Pa | Internal Medicine | 1144 N Saint Francis St, Wichita, KS 67214-2814 | 2008-09-08 |
| 1720264534 | Kansas Cardiac Nuclear Imaging Pa | Internal Medicine | 1144 N Saint Francis St, Wichita, KS 67214-2814 | 2008-01-11 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417347857 | Kansas Vascular Medicine, P.a. | Internal Medicine | 6130 E Central Ave Ste 117, Wichita, KS 67208-4238 | 2015-01-23 |
| 1114234101 | James Clinton Mershon | Internal Medicine | 7617 E Donegal St, Wichita, KS 67206-1613 | 2010-09-12 |
| 1417077272 | Richard B Bloom | Internal Medicine | 3730 N Ridge Rd Ste 200, Kansas Endovascular Medicine Associates, Wichita, KS 67205-1228 | 2007-03-29 |
| 1316013469 | Eecp Heart Center of Kansas Inc | Internal Medicine | 551 N Hillside St Ste 130, Wichita, KS 67214-4924 | 2006-11-28 |
| 1588646236 | Daniel Ryan Alvarez | Internal Medicine | 1515 S Clifton Ave Ste 320, Wichita, KS 67218-2953 | 2005-11-17 |
| 1063419109 | Jaime R Melean | Internal Medicine | 1431 Bluffview St, Ste 112, Wichita, KS 67218-3039 | 2005-07-05 |
| 1386640233 | Charles W Beck | Internal Medicine | 3535 N Webb Rd, Wichita, KS 67226-8127 | 2005-06-24 |
| 1194721951 | Dan A Francisco Md Pa | Internal Medicine | 1515 S Clifton Ave, Ste 150, Wichita, KS 67218-2957 | 2005-06-24 |
| 1619973906 | James A.m. Smith | Internal Medicine | 925 N Hillside St, Wichita, KS 67214-3219 | 2005-06-22 |
| 1710472162 | Christian A. Hourani, Md, Pa | Internal Medicine | 9350 E 35th St N Ste 101, Wichita, KS 67226-2022 | 2018-06-28 |
| 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.