DR. JOHN P SMITH (NPI# 1902805674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902805674 |
| Entity Type | Individual |
| Full Name | DR. JOHN P SMITH |
| Credential | DO, FACOS |
| Practice Address |
4013 N Ridge Rd Ste 210 Wichita KS 67205-8860 |
| Mailing Address |
Po Box 905 Wichita KS 67201-0905 |
| Practice Telephone | 3169457309 |
| Practice Fax Number | 3169459131 |
| Mailing Telephone | 3169457309 |
| Mailing Fax Number | 3169459131 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2011-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 05-19194 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100189270A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386035 | John Colin Smith | Physical Therapy Assistant | 416 N Main St Ste I, Cave City, AR 72521-9008 | 2020-11-03 |
| 1104392034 | John Seth Smith | Behavioral Analyst | 1002 S Vienna St, Ruston, LA 71270-5832 | 2018-10-18 |
| 1316454283 | John Smith | Driver | 339 E Glenwood Ave, Akron, OH 44310-3850 | 2018-01-02 |
| 1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
| 1952837536 | John Kenny Smith | Counselor | 140d Larkspur Ln, Galax, VA 24333-2305 | 2017-05-03 |
| 1114464435 | John Smith Jr. | Counselor | 390 E Boundary Dr, Spartanburg, SC 29303-3926 | 2017-01-24 |
| 1982152930 | John Smith | Physical Therapist | 412 W Central Ave, Fitzgerald, GA 31750-2442 | 2016-09-20 |
| 1588028518 | John Smith | Counselor | 8888 Finley Rd, Wooster, OH 44691-7563 | 2016-04-06 |
| 1235520602 | John Joseph Smith | Counselor | 17400 Northwood Ave, Lakewood, OH 44107-2210 | 2015-02-06 |
| 1235545526 | John Charles Smith | Pharmacist | 2666 Riva Rd Ste 110, Annapolis, MD 21401-7351 | 2014-07-08 |
| Street Address |
4013 N RIDGE RD STE 210 |
| City | WICHITA |
| State | KS |
| Zip Code | 67205-8860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356340178 | Jerry G Gaston | Surgery | 4013 N Ridge Rd, Ste 210, Wichita, KS 67205-8860 | 2005-07-14 |
| 1619235819 | Jeanne Lynn Pearson | Nurse Practitioner | 4013 N Ridge Rd, Suite 110, Wichita, KS 67205-8857 | 2012-04-25 |
| 1063707438 | Adam P Misasi | Surgery | 4013 N Ridge Rd, Ste. 210, Wichita, KS 67205-8857 | 2011-06-14 |
| 1033351903 | Kansas Surgical Arts LLC | Surgery | 4013 N Ridge Rd, Ste 110, Wichita, KS 67205-8857 | 2009-03-24 |
| 1487679759 | Stephen A. Olson | Surgery | 4013 N Ridge Rd, Ste. 210, Wichita, KS 67205-8857 | 2006-07-13 |
| 1275560336 | Erica C Hickerson | Physician Assistant | 4013 N Ridge Rd, Suite 110, Wichita, KS 67205-8857 | 2006-06-26 |
| 1386613107 | Surgical Specialists Pa | Surgery | 4013 N Ridge Rd, Ste 210, Wichita, KS 67205-8860 | 2006-03-15 |
| 1922007020 | Tina M Sholl | Nurse Practitioner | 4013 N Ridge Rd, Ste 110, Wichita, KS 67205-8857 | 2005-07-20 |
| 1396744116 | Jill M Smith | Nurse Practitioner | 4013 N Ridge Rd, Ste 210, Wichita, KS 67205-8860 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295211910 | Emily M Chastain | Dentist | 3213 N. Ridge Rd, Wichita, KS 67205 | 2018-07-16 |
| 1811415466 | Awaken Psychology LLC | Clinic/Center | 2552 N Maize Ct Suite 600, Wichita, KS 67205 | 2017-09-05 |
| 1962940288 | Moc Wichita LLC | Assisted Living Facility | 7057 W Village Circle, Wichita, KS 67205 | 2017-02-07 |
| 1003362732 | Moc Wichita, LLC | Assisted Living Facility | 7057 West Village Circle, Wichita, KS 67205 | 2016-09-01 |
| 1649637653 | Abigail Friend | Audiologist-Hearing Aid Fitter | 2558 Lake Way Circle, Wichita, KS 67205 | 2016-01-21 |
| 1134505399 | Myles Davidson | Dentist | 3510 N Ridge Rd Ste 500, Wichita, KS 67205 | 2015-08-10 |
| 1093121097 | The Eye Gallery, LLC | Optometrist | 3084 N. Maize Rd, Wichita, KS 67205 | 2014-07-10 |
| 1922428721 | Sam's West, Inc. | Technician/Technologist | 3084 N. Maize Road, Witchita, KS 67205 | 2014-04-18 |
| 1447693627 | Caryn Rana Landreth | Social Worker | 3114 N Brush Creek St, Wichita, KS 67205 | 2013-04-08 |
| 1902182686 | Return To Motion Medical | Durable Medical Equipment & Medical Supplies | 3221 N Ridge Port Circle, Wichita, KS 67205 | 2011-10-26 |
| Find all providers in zip 67205 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659717023 | Paige Harwell | Surgery | 818 N Emporia St Ste 303, Wichita, KS 67214 | 2013-05-13 |
| 1508108945 | Jarvis Wayne Walters | Surgery | 4013 N Ridge Rd Ste 210, Wichita, KS 67205-8860 | 2013-03-25 |
| 1609114842 | Frederic C Chang | Surgery | 35 E Via Roma St, Wichita, KS 67230-1602 | 2013-01-23 |
| 1760758791 | Sammy H. Kouri | Surgery | 619 N Armour Wichita, Wichita, KS 67206 | 2012-03-23 |
| 1215222542 | Rori Mankins | Surgery | 818 N Emporia St Ste 200, Wichita, KS 67214 | 2011-06-15 |
| 1710271549 | Mark Mankins | Surgery | 9350 E 35th St N Ste 103, Wichita, KS 67226-2022 | 2011-06-09 |
| 1306007430 | Andrew S Hentzen | Surgery | 3243 E Murdock St Ste 4404, Wichita, KS 67208-3052 | 2008-06-20 |
| 1609036326 | Thomas Robert Resch | Surgery | 818 N. Emporia, Suite 200, Wichita, KS 67214 | 2008-06-16 |
| 1972663946 | John Vincent Young Jr. | Surgery | 8106 E Champions St, Wichita, KS 67226-3324 | 2006-12-11 |
| 1700979473 | Hector O. Fernandez Sr. | Surgery | 1333 N. Broadway, Ste. A, Wichita, KS 67214 | 2006-10-02 |
| 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.