Unknown Individual – Pain Medicine (Anesthesiology) Physician, NPI 1417934761
Pain Medicine (Anesthesiology) Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Wichita Post Office, West Harry Street, Wichita, Sedgwick County, Kansas, 67209, United States
WICHITA, KS 672011039
Phone: (316) 733-9393
Fax: (316) 733-6116
Type: Mailing
825, North Hillside Street, Wichita, Sedgwick County, Kansas, 67214, United States
STE 200
WICHITA, KS 672144913
Phone: (316) 733-9393
Fax: (316) 733-6116
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 67201)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PAIN MANAGEMENT | KS | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 54 | 32 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pain Management | KS | |
| Nurse Practitioner | KS | |
| N E U R O S U R G E R Y | ND | |
| - | KS |
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