Eustaquio O Abay II, M.D.
Individual provider Active NPI Neurological Surgery Physician · Wichita, KS
NPI 1013949338 · NPPES record last updated Apr 9, 2012
Key facts
- NPI
- 1013949338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- License
- 04-21083 (KS)
- Practice address
- 3305 E Douglas Ave
Suite 101
Wichita, KS 67218-1037 - Phone
- (316) 425-0005
- Fax
- (316) 425-0007
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-21083 | KS | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abay Neuroscience Center LLC | Specialist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0421083 | KS | |
| Neurological Surgery Physician | 207T00000X | 04-21083 | KS | Yes |
Addresses
Primary practice location
3305 E Douglas Ave
Suite 101
Wichita, KS 67218-1037
Mailing address
3305 E Douglas Ave
Suite 101
Wichita, KS 67218-1037
Phone (316) 425-0005
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100204380C | Medicaid | KS |
Other providers in Wichita, KS
- Amanda Beth Abasolo
- Abay Neuroscience Center LLC
- Abay Orthodontics
- Emeline Belen Abay
- Emily Abay
- Abba Agape Care Homes, LLC.
- Aishwarya Abbareddy
- Muhammad Shamil Abbasy
- Abbey Senior Care
- Gregory Alan Abbott
All providers in Wichita, KS · Neurological Surgery Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.