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NPI Code Detail

MEDICARE: WICHITA EAR CLINIC, PA

MEDICARE: WICHITA EAR CLINIC, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207YX0901XOtology & Neurotology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3CD7286OTHERKSRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1110245OTHERKSBLUE CROSS/BLUE SHIELD KS
23257OTHERKSPREFERRED HEALTH SYSTEMS

General Provider Information

NPI Number : 1518932011
Entity Type Code : Organization
Provider Name (Legal Business Name) : WICHITA EAR CLINIC, PA
Provider Business Mailing Address
First Line : 9350 E CENTRAL AVE
Second Line :
City : WICHITA
State : KS
Zip : 67206-4999
Country : US
Telephone Number : 316-686-6608
Fax Number : 316-686-3624
Provider Business Practice Location Address
First Line : 9350 E CENTRAL AVE
Second Line :
City : WICHITA
State : KS
Zip : 67206-2555
Country : US
Telephone Number : 316-686-6608
Fax Number : 316-686-3624
Authorized Official
Title or Position : BILLING
Name : MRS. CARI D BARLETT
Credential :
Telephone Number : 316-686-6608
Provider Enumeration Date : 02/20/2006
Last Update Date : 03/02/2022

Similar Medicare Providers

1710989082 — DR. JOHN MARTIN LASAK M.D.
Practice Location Address:
9350 E CENTRAL AVE
WICHITA, KS
67206-2555
Practice Phone: 316-686-6608
Practice Fax: 316-686-3624
1194727453 — DR. THOMAS C KRYZER JR. M.D.
Practice Location Address:
9350 E CENTRAL AVE
WICHITA, KS
67206-2555
Practice Phone: 316-686-6608
Practice Fax: 316-686-3624
1982600821 — DR. DAVID L WALDIE O.D.
Practice Location Address:
9390 E CENTRAL AVE , STE 101
WICHITA, KS
67206-2555
Practice Phone: 316-636-2080
Practice Fax: 316-636-2965
1992703573 — DR. TIMOTHY J. MASON O.D.
Practice Location Address:
9390 E CENTRAL AVE , STE 101
WICHITA, KS
67206-2555
Practice Phone: 316-636-2080
Practice Fax: 316-636-2965
1063490050 — DR. ERNESTO BELEN JR. DMD
Practice Location Address:
9314 E CENTRAL AVE
WICHITA, KS
67206-2555
Practice Phone: 316-686-6565
Practice Fax: 316-866-2563
1134107121 — DR. MARY ANN CHANG DMD, MDS
Practice Location Address:
9314 E CENTRAL AVE
WICHITA, KS
67206-2555
Practice Phone: 316-686-6565
Practice Fax: 316-866-2563

Directions to “WICHITA EAR CLINIC, PA ” Practice Location

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