John Provenzano (NPI# 1710955430, PAC ID# 9335156397) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1710955430 |
| PAC ID by PECOS | 9335156397 |
| Professional Enrollment ID | I20120307000573 |
| Full Name | John Provenzano |
| Address |
1515 S Clifton Ave Suite 120 Wichita KS 67218-2951 |
| Gender | F |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1990 |
| Primary Specialty | ORAL SURGERY |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1515 S Clifton Ave, Suite 120, Wichita, KS 67218-2951 |
| Street Address |
1515 S CLIFTON AVE SUITE 120 |
| City | WICHITA |
| State | KS |
| Zip | 67218-2951 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natalia A Montoya | Family Medicine | 1515 S Clifton Ave, Suite 450, Wichita, KS 67218-2954 | |
| Rosella Mae Loflin | Certified Registered Nurse Anesthetist (crna) | Kansas Professional Anesthesia and Pain Management Specialists, P.a. | 1515 S Clifton Ave, Suite 200, Wichita, KS 67218-2958 |
| Simon P Patton | Obstetrics/gynecology | Ascension Medical Group Via Christi, Pa | 1515 S Clifton Ave, 300 Via Christi Clinic Pa, Wichita, KS 67218-2953 |
| Gregory C Meister | Anesthesiology | Kansas Professional Anesthesia and Pain Management Specialists, P.a. | 1515 S Clifton Ave, Suite 200, Wichita, KS 67218-2958 |
| Marvin Pecana Pamatmat | Certified Registered Nurse Anesthetist (crna) | Kansas Professional Anesthesia and Pain Management Specialists, P.a. | 1515 S Clifton Ave, Suite 200, Wichita, KS 67218-2958 |
| Paula S Philson | Clinical Social Worker | Ascension Medical Group Via Christi, Pa | 1515 S Clifton Ave, 300 Via Christi Clinic Pa, Wichita, KS 67218-2953 |
| Karen S Wheeler | Nurse Practitioner | Cardiovascular Care, P.a. | 1515 S Clifton Ave, Suite 150, Wichita, KS 67218-2957 |
| Carmen G Baynham | Nurse Practitioner | Cardiovascular Care, P.a. | 1515 S Clifton Ave, Wichita, KS 67218-2957 |
| Jaime Md Melean | Cardiovascular Disease (cardiology) | Cardiovascular Care, P.a. | 1515 S Clifton Ave, Wichita, KS 67218-2957 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad Allen Krier | Chiropractic | Vis Clinic, LLC | 4825 E Douglas Ave, Suite 100, Wichita, KS 67218-1013 |
| Olugbemiga O Osunsanmi | Physical Therapy | 4817 E Douglas Ave, Suite 200, Wichita, KS 67218-1019 | |
| Charles H Townsend | Clinical Social Worker | 4601 E Douglas Ave, Suite 118, Wichita, KS 67218-1032 | |
| Kevin L Darden | Chiropractic | 5119 E Kellogg Dr, Wichita, KS 67218-1625 | |
| Stephen K Sowards | Psychologist, Clinical | 329 S Morningside St, Wichita, KS 67218-1815 | |
| Eunkyoung Mariah Warden | Clinical Social Worker | 560 S Oliver St, Wichita, KS 67218-2351 | |
| Heather A Spencer | Clinical Social Worker | 560 S Oliver St, Wichita, KS 67218-2351 | |
| Michael L Jacobsen | Oral Surgery | 1120 S Clifton Ave, Wichita, KS 67218-2913 | |
| Mark J Niederee | General Surgery | Wichita Surgical Specialists Pa | 1515 S Clifton, Suite 250, Wichita, KS 67218-2953 |
| Olga A Tatpati | Pediatric Medicine | Tatpati Medical Group, LLC | 1515 S Clifton, Suite 205, Wichita, KS 67218-2954 |
| Find all physicians in zip 67218 | |||
| City | WICHITA |
| Zip Code | 67218 |
| Specialty | ORAL SURGERY |
| City + Specialty | WICHITA + ORAL SURGERY |
Please comment or provide details below to improve the information on John Provenzano.
| 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.