| Dr Roger D Unruh, DO | |
|
2131 N Ridge Rd, Wichita, KS 67212-1570 | |
| (316) 773-1212 | |
| (316) 440-6601 |
| Full Name | Dr Roger D Unruh |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 2131 N Ridge Rd, Wichita, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811948961 | NPI | - | NPPES |
| 103297 | Other | KS | BCBS |
| 100098390F | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 0514944 (Kansas) | Primary |
| Entity Name | New Market Health Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881644540 PECOS PAC ID: 6507770583 Enrollment ID: O20031113000850 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roger D Unruh, DO 2131 N Ridge Rd, Wichita, KS 67212-1570 Ph: (316) 773-1212 | Dr Roger D Unruh, DO 2131 N Ridge Rd, Wichita, KS 67212-1570 Ph: (316) 773-1212 |
Patrick Bowen, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 N. Kansas, Wcgme, Wichita, KS 67214 Phone: 316-962-3030 | |
Dr. Cindy Daugherty, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 620 N Carriage Pkwy, Wichita, KS 67208 Phone: 316-962-3100 Fax: 316-962-3132 | |
Deborah Anne Kroeker Alliston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 620 N Carriage Pkwy, Wichita, KS 67208 Phone: 316-962-3100 Fax: 316-962-3132 | |
Justin Alexander Mills, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-962-3030 | |
Reem Siblini, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Luke O Nichols, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9211 E 21st St N, Wichita, KS 67206 Phone: 316-609-4400 Fax: 316-634-4040 | |
Kay Hocutt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9211 E 21st St N, Wichita, KS 67206 Phone: 316-609-4400 Fax: 316-634-4040 |