John Shellito in Wichita - Vascular Surgery

John Shellito - NPI 1720019151

John Shellito is a Vascular Surgery in Wichita, Kansas. John Shellito practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for John Shellito is 1720019151. The last update date is 2015-02-06.

John Shellito's current location address is Po Box 8035, Wichita, Kansas. You can contact this provider via phone number 3166899135 and fax number 3166899102. The mailing address for John Shellito is Po Box 8035, Wichita, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name John Shellito
Address Po Box 8035, Wichita, Kansas
Phone Number 3166899135
Fax Number 3166899102
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1720019151
Provider Enumeration Date 2006-07-05
Last Updated Date 2015-02-06

Provider Mailing Address Detail

Address Po Box 8035
City Wichita
State Kansas (KS)
Post Code 672080035
Phone Number 3166899135
Fax Number 3166899102

Provider's Primary Taxonomy Detail

Speciality Vascular Surgery
Taxonomy 2086S0129X
Licence No 20502
Definition:
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
836 KS PHS
12149403 KS MULTIPLAN
200152 KS HPK
3429 KS BCBS
100147290C KS --
16923 KS COVENTRY

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FAQs about John Shellito

What is the unique identifier code issued to John Shellito by the Centers for Medicare & Medicaid Services?

The John Shellito has been assigned the NPI (National Provider Identifier) 1720019151. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where John Shellito is physically located?

The John Shellito is situated at the following address: Po Box 8035, Wichita, KS 672080035.

What is the area of specialization for John Shellito, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for John Shellito is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0129X.

When did John Shellito receive its 1720019151 assignment?

The John Shellito was assigned its 1720019151 on 2006-07-05, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to John Shellito, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to John Shellito, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-02-06.

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