Kansas Professional Anesthesia and Pain Management Specialists, P.a.
Organization Active NPI Anesthesiology Physician · Wichita, KS
NPI 1710967211 · NPPES record last updated Oct 21, 2014
Key facts
- NPI
- 1710967211
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- KANSAS PROFESSIONAL ANESTHESIA AND PAIN MANAGEMENT SPECIALISTS, P.A.
- Practice address
- 1515 S Clifton Ave
#200
Wichita, KS 67218-2900 - Phone
- (316) 618-1515
- Fax
- (316) 618-8635
- NPI assigned
- Jan 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Jan Scott
- Title
- Office Manager
- Phone
- (316) 618-1515
Practitioners 70
-
Gregory C Meister, M.D.
-
Heidi Ary, CRNA
-
Rajeeva K Bashyakarla, M.D.
-
Donald Travis Beeman, CRNA
-
Bonnie Biles, CRNA
-
Bryan Keith Broddle, CRNA
-
Joe Champion, CRNA
-
Christopher John Culp, CRNA
-
Thomas Drury, CRNA
-
Michael Kent Evans, CRNA
-
Mark Ewertz, CRNA
-
Rebecca Freund, CRNA
-
Jill C Gallagher, CRNA
-
Jose F Gutierrez, CRNA
-
Pegah Vahdat Harlan, CRNA
-
Sandra K Hecht, MD
-
Katy L Huxford, CRNA
-
Kendra S James, CRNA
-
Gregory S. Linhardt, M.D.
-
Catherine Marrs, CRNA
-
Scott Manwell McCormick, CRNA
-
Andrew F Meister, M.D.
-
Gene Reed, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040212000345 | KS | Part B Supplier - Clinic/Group Practice | 7416841184 |
Receives reassigned benefits from 1 practitioner Practice locations: Wichita, KS |
National Provider Directory
Locations
1515 S Clifton Ave
Ste 200
Wichita, KS 67218
Phone (316) 618-1515
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
1515 S Clifton Ave
#200
Wichita, KS 67218-2900
Mailing address
1515 S Clifton Ave
#200
Wichita, KS 67218-2900
Phone (316) 618-1515
Other providers in Wichita, KS
- Kansas Physicians Group, LLC
- Kansas Physicians Group, LLC
- Kansas Physicians Group, LLC
- Kansas Physicians Group, LLC
- Kansas Plastic Surgery, LLC
- Kansas Regenerative and Pain Specialists LLC
- Kansas Sleep Medicine, LLC
- Kansas Spine & Specialty Hospital, L.L.C.
- Kansas Spine & Specialty Hospital, L.L.C.
- Kansas Spine Anesthesia Corporation PA
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 Oct 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.