JOSEPH R LICKTEIG (NPI# 1982630422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982630422 |
Entity Type | Individual |
Full Name | JOSEPH R LICKTEIG |
Credential | DPM |
Practice Address |
758 S Hillside St Wichita KS 67211-3020 |
Practice Telephone | 3166862106 |
Practice Fax Number | 3166865974 |
Mailing Telephone | 3166862106 |
Mailing Fax Number | 3166865974 |
Enumeration Date | 2006-06-25 |
Last Update Date | 2016-02-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | 12-00126 | KS | Podiatric Medicine & Surgery Service Providers |
Street Address |
758 S HILLSIDE ST |
City | WICHITA |
State | KS |
Zip Code | 67211-3020 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922001551 | Frank K Galbraith | Podiatrist | 758 S Hillside St, Ste 2, Wichita, KS 67211-3020 | 2005-05-27 |
1073972170 | Leila Galbraith Mckenzie Dpm LLC | Podiatrist | 758 S Hillside St, Wichita, KS 67211-3020 | 2016-02-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386162683 | Karlee Dawn Gluszek | Specialist/Technologist | 1947 S Lulu St, Wichita, KS 67211 | 2017-09-07 |
1780139659 | Jaclyn Blyholder | Dentist | 639 S. Hillside, Wichita, KS 67211 | 2016-08-22 |
1356715379 | Revitalize Physical Therapy LLC | Physical Therapist | 227 S Ida St, Wichita, KS 67211 | 2015-11-16 |
1750753232 | Accurate Sleep Lab | Clinical Medical Laboratory | 411 S Pattie St Suite 2, Wichita, KS 67211 | 2015-10-23 |
1841628013 | Joseph Michael Stech | Family Medicine | 940 S. St. Francis, Guadalupe Clinic, Wichita, KS 67211 | 2013-10-24 |
1902166648 | Debby Elwood | Counselor | 830 S. Hillside, Wichita, KS 67211 | 2012-05-28 |
1205038726 | Patricia (pat) J. Eagleman | Social Worker | 333 S. Greenwood, Wichita, KS 67211 | 2007-06-05 |
1114147717 | Rodolfo A Argosino Md Pa | Family Medicine | 1148 S Hillside, 106, Wichita, KS 67211 | 2007-04-26 |
1801911086 | Susan Wright Rockley | Physical Therapist | 2535 East Lincoln, Wichita, KS 67211 | 2007-03-20 |
1578618021 | Dependable Assisted Living | Home Health | 401 S Greenwood St, Wichita, KS 67211 | 2007-01-24 |
Find all providers in zip 67211 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003354424 | Midwestern Podiatry Services LLC | Podiatrist | 1740 N Fairview Ave, Suite 200, Wichita, KS 67203-2573 | 2017-02-06 |
1487847000 | Ed R Elkouri | Podiatrist | 1515 S Clifton Ave Ste 440, Wichita, KS 67218-2954 | 2007-08-27 |
1043419625 | Podiatry Clinic, P.a. | Podiatrist | 400 N Woodlawn St Ste 211, Wichita, KS 67208-4332 | 2007-07-13 |
1922114222 | Leroy Stucky | Podiatrist | 5311 E Central, Wichita, KS 67208-4131 | 2006-08-21 |
1306815709 | Donald D Yoder | Podiatrist | 3010 W Central Ave, Wichita, KS 67203-4910 | 2006-03-16 |
1083601009 | Benjamin Watson Weaver | Podiatrist | 2081 N Webb Rd, Wichita, KS 67206-3411 | 2005-10-04 |
1649267683 | Thomas Daniel Truong | Podiatrist | 3460 N Ridge Rd Ste 140, Wichita, KS 67205-1223 | 2005-10-04 |
1467453779 | Larry K. Mcneil | Podiatrist | 400 N Woodlawn St, Suite 211, Wichita, KS 67208-4338 | 2005-08-09 |
1922001551 | Frank K Galbraith | Podiatrist | 758 S Hillside St, Ste 2, Wichita, KS 67211-3020 | 2005-05-27 |
1720241821 | Miki Matsuda | Podiatrist | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2008-07-08 |
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.