Manuel Alfonso, MD
Individual provider Active NPI Anesthesiology Physician · Wichita, KS
NPI 1154433670 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154433670
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 15093 (KS)
- Practice address
- 1947 N Founders St
Wichita, KS 67206-3548 - Phone
- (316) 613-4931
- Fax
- (316) 613-4937
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 15093 | KS | MD | Anesthesiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 15093 | KS | Yes |
Addresses
Primary practice location
1947 N Founders St
Wichita, KS 67206-3548
Mailing address
PO Box 8035
Wichita, KS 67208-0035
Phone (316) 689-9135
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16878 | Other | KS | COVENTRY |
| 200101 | Other | KS | HPK |
| 16 | Other | KS | PHS |
| 000272F | Other | KS | BCBS |
| 12149494 | Other | KS | MULTIPLAN |
Other providers in Wichita, KS
- Tiffanie Lea Alexander
- Vanessa Alexander
- Nissa Alfaro
- Mohammed Atta Alfarra
- Morgan Alfieri
- Judith K Algrim
- Annmarie Algya
- Saleh Omar Mohammad Alhaj Mohammad
- Aishah May Alhomsi
- Erah Ali
All providers in Wichita, KS · Anesthesiology 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 Jul 8, 2007. 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.