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Contact Information

MICHAEL R EASTER, PA-C
10100 E SHANNON WOODS ST
SUITE 100
WICHITA, KS67226-4104
 Phone: 316-219-8299
 Fax: 316-219-5899
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MICHAEL R EASTER · (Male)

NPI Number 1699712950
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/02/2006
Last updated 04/06/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 15-00207
  • KS Medicaid 100424670B
  • Other 970028115 R. R. MEDICARE
  • KS Other 042939 BLUE SHIELD
  • KS Other 502180 FIRST GUARD
  • KS Other 14012 PREFERRED HEALTH SYSTEMS
Hospital affiliation(s)
  • KANSAS MEDICAL CENTER LLC - (Acute Care)
    1124 WEST 21ST STREET
    ANDOVER, KS 67002
  • KANSAS SURGERY & RECOVERY CENTER - (Acute Care)
    2770 NORTH WEBB ROAD
    WICHITA, KS 67226
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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