WICHITA DERMATOLOGY,LLC
WICHITA DERMATOLOGY DBA MOELLER DERMATOLOGY · Dermatology

Address: 1911 North Webb Rd, Wichita, KS 67206

WICHITA DERMATOLOGY,LLC (NPI# 1184256844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184256844
Entity Type Organization
Organization Name WICHITA DERMATOLOGY,LLC
Other Organization Name WICHITA DERMATOLOGY DBA MOELLER DERMATOLOGY (Doing Business As Name)
Practice Address 1911 North Webb Rd
Wichita
KS 67206
Practice Telephone 3166827546
Practice Fax Number 3166827554
Mailing Address 1911 North Webb Rd
Wichita
KS 67206
Mailing Telephone 3166827546
Mailing Fax Number 3166827554
Certification Date 2020-05-12
Enumeration Date 2020-02-10
Last Update Date 2020-05-12
Authorized Official Telephone 3166827546
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 207N00000X Dermatology 193400000X SINGLE SPECIALTY GROUP Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Wichita Dermatology DBA Moeller Dermatology Doing Business As Name

Office Location

Street Address 1911 NORTH WEBB RD
City WICHITA
State KS
Zip Code 67206

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346478054 Landon M Johnson Dermatology 1911 North Webb Rd, Wichita, KS 67206 2009-07-01

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1760020846 Founders Surgery Center, LLC Clinic/Center · Ambulatory Surgical 1961 N Founders Circle, Wichita, KS 67206 2019-12-19
1174006613 Courtney Dawn Simon Physical Therapist 9360 E Central Ave Ste 100, Wichita, KS 67206 2018-09-11
1902308919 Center At Waterfront LLC · The Center At Waterfront Skilled Nursing Facility 1541 North Lindberg Circle, Wichita, KS 67206 2018-03-06
1750804597 Katelyn Aguiar Psychologist 250 N Rock Rd Ste 210, Wichita, KS 67206 2017-07-24
1457888778 Mona Kay Cherryholmes Social Worker 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 2017-05-17
1164899415 Elizabeth Herl Marriage & Family Therapist 250 N Rock Rd Ste 150, Wichita, KS 67206 2015-08-21
1851715510 Ndjj Corp · Home Away From Home Custodial Care Facility · Adult Care Home 6403 E Marjore, Wichita, KS 67206 2014-02-14
1801238217 Courtney Ann Lang Physical Therapist 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 2013-07-26
1194063032 Peak Performance Health Pa Chiropractor 10111 E 21st St, #106, Wichita, KS 67206 2013-01-28
1750629002 Rachel Marie Conrad Speech-Language Pathologist 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 2013-01-22
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346478054 Landon M Johnson 1911 North Webb Rd, Wichita, KS 67206 2009-07-01
1891798005 Christopher A Moeller 1911 N Webb Rd, Wichita, KS 67206-3405 2005-05-23
1619297769 Brandon Litzner 1861 N Rock Rd Ste 310, Wichita, KS 67206-1264 2010-06-10
1922038801 Krista E. Shackelford 835 N Hillside St, Wichita, KS 67214-4913 2006-07-04
1710915210 Stanley L Capper 9211 E 21st St N, Wichita, KS 67206-2968 2006-06-30
1710914197 John C Robichaux 9211 E 21st St N, Wichita, KS 67206-2968 2006-06-28
1285685008 Mid-Kansas Dermatology Clinic, Pa 1861 N Rock Rd, Suite 310, Wichita, KS 67206-4200 2006-05-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023615648 Lori E Falcone 1121 N College Park St Ste 400, Derby, KS 67037-3667 2020-10-06
1710444500 Epiphany Dermatology of Kansas, LLC 10600 Quivira Rd Ste 430, Overland Park, KS 66215-2312 2019-02-27
1104354794 Blue Valley Dermatology 7840 W 165th Street, Suite 260, Overland Park, KS 66223 2017-05-26
1346618220 Tara Gillespie 2707 Vine St Ste 10, Hays, KS 67601-1908 2015-09-09
1295072163 Bernard James Melia Jr. 5418 W 100th St, Overland Park, KS 66207-3116 2013-01-11
1134481831 Johanna Suzanne Peterson 3901 Rainbow Blvd. 6040 Delp, Ms1020, Division of General and Geriatric Medicine, University, Kansas City, KS 66160-0001 2012-06-09
1780950352 Jacqueline Margaret Youtsos 2425 Bradshaw Way, Pittsburg, KS 66762-6600 2012-03-28
1760709679 Lauren Ann Kyle Tkachuk · Lauren Ann Kyle 7840 W 165th St Ste 260, Overland Park, KS 66223-3020 2010-05-02
1639494198 Anand Rajpara 3901 Rainbow Blvd # Ms 2025, Kansas City, KS 66160 2010-03-28
1578792776 Tracy Michelle Katz Ms 2025 4009 Wescoe, 3901 Rainbow Blvd., Kansas City, KS 66160-0001 2009-07-08
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Competitor

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City WICHITA
Zip Code 67206

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.