Steven M Passman (NPI# 1770596512, PAC ID# 5294723573) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1770596512 |
| PAC ID by PECOS | 5294723573 |
| Professional Enrollment ID | I20040505000110 |
| Full Name | Steven M Passman |
| Organization Legal Name | MID-KANSAS DERMATOLOGY CLINIC, PA |
| Address |
1861 N Rock Rd Suite 310 Wichita KS 67206-1264 |
| Phone Number | 3166121833 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 7315935681 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170122 | VIA CHRISTI HOSPITAL-WICHITA |
| 170017 | SUSAN B ALLEN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1861 N Rock Rd, Suite 310, Wichita, KS 67206-1264 | 3166121833 | MID-KANSAS DERMATOLOGY CLINIC, PA |
| Organization Legal Name | MID-KANSAS DERMATOLOGY CLINIC, PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colleen J Young | Physician Assistant | Mid-kansas Dermatology Clinic, Pa | 1861 N Rock Rd, Suite 310, Wichita, KS 67206-1264 |
| Trang T Brownlee | Physician Assistant | Mid-kansas Dermatology Clinic, Pa | 1861 N Rock Rd, Suite 310, Wichita, KS 67206-1264 |
| Shanna D Suderman | Physician Assistant | Mid-kansas Dermatology Clinic, Pa | 1861 N Rock Rd, Suite 310, Wichita, KS 67206-1264 |
| Street Address |
1861 N ROCK RD SUITE 310 |
| City | WICHITA |
| State | KS |
| Zip | 67206-1264 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colleen J Young | Physician Assistant | Mid-kansas Dermatology Clinic, Pa | 1861 N Rock Rd, Suite 310, Wichita, KS 67206-1264 |
| Trang T Brownlee | Physician Assistant | Mid-kansas Dermatology Clinic, Pa | 1861 N Rock Rd, Suite 310, Wichita, KS 67206-1264 |
| Marilyn Sue Possett | Clinical Social Worker | 1861 N Rock Rd, Suite 103, Wichita, KS 67206-1264 | |
| Shanna D Suderman | Physician Assistant | Mid-kansas Dermatology Clinic, Pa | 1861 N Rock Rd, Suite 310, Wichita, KS 67206-1264 |
| Phillip Newman | Clinical Social Worker | 1861 N Rock Rd, Suite 103, Wichita, KS 67206-1264 | |
| Elsie E Steelberg | Psychiatry | Advocates for Behavioral Health Pa | 1861 N Rock Rd, Suite 203, Wichita, KS 67206-1264 |
| Paris E.t. Loyle | Chiropractic | 1861 N Rock Rd, 205 Renuva Back and Pain Center, Wichita, KS 67206-1264 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jed D Holmes | Family Medicine | Primary Care Associates, LLC | 7111 E 21st St N A, Wichita, KS 67206-1078 |
| Yeni Chavez-rodriguez | Physician Assistant | Primary Care Associates, LLC | 7111 E 21st St N A, Wichita, KS 67206-1078 |
| Charlene C Bui | Physician Assistant | Primary Care Associates, LLC | 7111 E 21st St N A, Wichita, KS 67206-1078 |
| Sandra L Martens | Registered Dietitian Or Nutrition Professional | Primary Care Associates, LLC | 7111 E 21st St N A, Wichita, KS 67206-1078 |
| Thanh N Truong | Internal Medicine | Primary Care Associates, LLC | 7111 E 21st St N A, Wichita, KS 67206-1078 |
| Angela M Leiker | Family Medicine | Primary Care Associates, LLC | 7111 E 21st St N A, Wichita, KS 67206-1078 |
| Darla K Rivera | Family Medicine | Primary Care Associates, LLC | 7111 E 21st St N A, Wichita, KS 67206-1078 |
| David M Netherton | Family Medicine | Primary Care Associates, LLC | 7111 E 21st St N A, Wichita, KS 67206-1078 |
| Claudia Ximena Wendell | Family Medicine | Primary Care Associates, LLC | 7111 E 21st St N A, Wichita, KS 67206-1078 |
| Jason T Tauke | Cardiovascular Disease (cardiology) | Jason T Tauke Md Pa | 7111 E 21st St N A, Primary Care Associates, Wichita, KS 67206-1078 |
| Find all physicians in zip 67206 | |||
| City | WICHITA |
| Zip Code | 67206 |
| Specialty | DERMATOLOGY |
| City + Specialty | WICHITA + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.