Individual provider Active NPI

Gregory F Duick, MD

  • Cardiovascular Disease Physician
  • Wichita, KS
National Provider Identifier
1083682389
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0416987 Issued in KS
Practice address
9350 E 35TH St N
Ste 101
Wichita, KS 67226-2019
Phone
(316) 265-1308
Fax
(316) 712-9286
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0416987 KS Primary

Addresses

Primary practice location

9350 E 35TH St N
Ste 101
Wichita, KS 67226-2019

Mailing address

9350 E 35TH St N
Ste 101
Wichita, KS 67226-2019
Phone (316) 265-1308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0416987KSMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Heart Hospital, LLC Cardiovascular Disease PastSince Apr 22, 2014 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Past Accepting new patients
Brigham & Womens Physicians Organization Inc Past Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Past Accepting new patients
Aziz R Maksoud MD PA Cardiovascular Disease PastSince Apr 30, 2003 Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1083682389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 E 35TH ST N",
            "address_2": "STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262019",
            "telephone_number": "316-265-1308",
            "fax_number": "316-712-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 E 35TH ST N",
            "address_2": "STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262019",
            "telephone_number": "316-265-1308",
            "fax_number": "316-712-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUICK",
        "first_name": "GREGORY",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "0416987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.