Equipoise Healthcare, LLC

Primary specialty

Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X

Legal business name

EQUIPOISE HEALTHCARE, LLC

Practice address

8110 E 32ND St N Ste 170
Wichita, KS 67226-2627

Phone

(316) 330-9700

Fax

(316) 330-9701

NPI assigned

Apr 13, 2022

Last updated

Apr 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elisa J Stauffer, MDNPI 1083811962

Title

Physician Owner

Phone

(316) 330-9700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elisa J Stauffer, M.D.

  • Pediatric Hematology & Oncology Physician
  • Wichita, KS
  • NPI 1083811962

  Pediatric Hematology-Oncology

  Medicare reassignment NPD Authorized official
• Shelby Rae Brown, MSN, FNP-C

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1962195826
  Medicare reassignment NPD
• Tessa Kae Eftekhar, NP

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1770271173
  Medicare reassignment NPD
• Megan Bergman, PA-C

  • Physician Assistant
  • Des Moines, IA
  • NPI 1174404172

  KS

  Medicare reassignment NPD
• Moshe Cohn, MD

  • Pediatric Hospice and Palliative Medicine Physician
  • Teaneck, NJ
  • NPI 1033406400

  KS, Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1912649443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 E 32ND ST N STE 170",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262627",
            "telephone_number": "316-330-9700",
            "fax_number": "316-330-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 E 32ND ST N STE 170",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262627",
            "telephone_number": "316-330-9700",
            "fax_number": "316-330-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUIPOISE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "STAUFFER",
        "authorized_official_first_name": "ELISA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "316-330-9700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Hematology & Oncology Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Pediatric Hematology & Oncology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.