Cardiac Cath Lab of Wichita LP

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CARDIAC CATH LAB OF WICHITA LP

Practice address

3555 North Webb Rd.
Suite a
Wichita, KS 67226

Phone

(316) 351-5934

NPI assigned

Jul 16, 2015

Organization subpart

No

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

Authorized official

Name

Gregg Miller, MD

Title

Sr. Vice President

Phone

(610) 644-8900

Specialties & licenses 1

Addresses

Other names 1

• EPIC Heart Center Doing business as

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1851775142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 VALLEY STREAM PKWY STE 100",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551407",
            "telephone_number": "610-644-8900",
            "fax_number": "484-924-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 NORTH WEBB RD.",
            "address_2": "SUITE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67226",
            "telephone_number": "316-351-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC CATH LAB OF WICHITA LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "610-644-8900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EPIC Heart Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EPIC Heart Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Perry Capul, APRN
• Carla L Carazo, AUD
• Jessica Carbajal-Sanchez, LMSW
• Jeanine Carder, LCPC
• Seth L Carder, MD
• Cardinal Hospice of Kansas LLC
• Cardio-Kidney Vascular Care LLC
• Cardio-Kidney Vascular Obl LLC
• Cardiovascular Anesthesia of Wichita, LLC
• Cardiovascular Care, P.a.

• Multi-Specialty Clinic/Center in Wichita, KS
• Providers in Wichita, KS by specialty
• Multi-Specialty Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.