PEDRO WILFRIDO VIVAR CRUZ (NPI# 1891007746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891007746 |
| Entity Type | Individual |
| Full Name | PEDRO WILFRIDO VIVAR CRUZ |
| Credential | M.D. |
| Practice Address |
848 N Saint Francis St #3901 Wichita KS 67214-3800 |
| Mailing Address |
Po Box 8035 Wichita KS 67208-0035 |
| Practice Telephone | 3162688500 |
| Practice Fax Number | 3162917993 |
| Mailing Telephone | 3166899135 |
| Mailing Fax Number | 3166899667 |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2015-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
04-37802 | KS | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
036135875 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
848 N SAINT FRANCIS ST #3901 |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265437685 | Toni L Sadler | Physician Assistant | 848 N Saint Francis St, Ste. 3901, Wichita, KS 67214-3800 | 2005-06-14 |
| 1881144376 | Kelli Anne Rice | Nurse Practitioner | 848 N Saint Francis St, Ste. 391, Wichita, KS 67214-3800 | 2016-10-07 |
| 1912379132 | Tonya Loveland | Nurse Practitioner | 848 N Saint Francis St, Suite 3901, Wichita, KS 67214-3800 | 2015-10-27 |
| 1346512423 | Erica Schumacher | Nurse Practitioner | 848 N Saint Francis St, Ste. 2925, Wichita, KS 67214-3800 | 2012-02-03 |
| 1912292020 | Vanessa G Baca | Nurse Practitioner | 848 N Saint Francis St, Ste 3950, Wichita, KS 67214-3800 | 2011-06-16 |
| 1154639185 | Jean T Dukich | Registered Nurse | 848 N Saint Francis St, Suite 1900, Wichita, KS 67214-3841 | 2010-09-24 |
| 1710203146 | Preferred Medical Associates | Otolaryngology | 848 N Saint Francis St, Ste. 2925, Wichita, KS 67214-3800 | 2010-04-09 |
| 1245564368 | Preferred Medical Associates | Psychiatry & Neurology | 848 N Saint Francis St, Ste. 3901, Wichita, KS 67214-3800 | 2009-09-22 |
| 1205061017 | Preferred Medical Associates | Psychiatry & Neurology | 848 N Saint Francis St, Ste. 3949, Wichita, KS 67214-3800 | 2009-05-22 |
| 1306071303 | Preferred Medical Associates | Internal Medicine | 848 N Saint Francis St, Ste. 2968, Wichita, KS 67214-3800 | 2009-05-19 |
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| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780998658 | Rajesh Kumar Sadasivuni | Psychiatry & Neurology | 3243 E Murdock St Ste 104, Wichita, KS 67208-3018 | 2010-08-03 |
| 1275504011 | Calvin Grant Olmstead | Psychiatry & Neurology | 3243 E. Murdock, Suite 104, Wichita, KS 67208-3018 | 2006-01-30 |
| 1730184433 | Bart A Grelinger | Psychiatry & Neurology | 2135 N Collective Ln, Wichita, KS 67206-3560 | 2005-06-17 |
| 1508101775 | Ehtisham Neurovascular Institute & Aesthestics P.a. | Psychiatry & Neurology | 3223 N Webb Rd, Suite 5, Wichita, KS 67226-8175 | 2012-11-29 |
| 1831453166 | Robert J. Murphy | Psychiatry & Neurology | 2135 N Collective Ln, Wichita, KS 67206-3560 | 2012-07-02 |
| 1922376573 | Mohammed Arif Hussain | Psychiatry & Neurology | 3243 E Murdock St Ste 104, Wichita, KS 67208-3018 | 2011-12-11 |
| 1033435581 | Kansas Physicians Group, LLC | Psychiatry & Neurology | 9449 E 21st St N, Suite 200, Wichita, KS 67206-2969 | 2010-04-08 |
| 1306097597 | Jonson Huang Md Inc | Psychiatry & Neurology | 250 N Rock Rd, 300d, Wichita, KS 67206-2203 | 2008-10-06 |
| 1932357571 | Ricky Wai Kei Lee | Psychiatry & Neurology | 848 N Saint Francis St, Suite 3901, Wichita, KS 67214-3800 | 2008-09-08 |
| 1316107964 | David Ryan Mayans | Psychiatry & Neurology | 2135 N Collective Ln, Wichita, KS 67206-3560 | 2008-06-16 |
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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.