Provider Demographics
NPI:1316217110
Name:G. WHITNEY READER MD PA
Entity type:Organization
Organization Name:G. WHITNEY READER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:W
Authorized Official - Last Name:READER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:316-263-5889
Mailing Address - Street 1:9300 EAST 29TH ST. N. #310
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226
Mailing Address - Country:US
Mailing Address - Phone:316-858-9000
Mailing Address - Fax:316-263-1086
Practice Address - Street 1:8110 E 32ND ST N SUITE 170
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226
Practice Address - Country:US
Practice Address - Phone:316-263-5889
Practice Address - Fax:316-263-1086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-10
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS19131207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100194030CMedicaid
KSKA2461OtherBLUE CROSS BLUE SHIELD OF KANSAS
KS100194030CMedicaid
KSKA2461OtherBLUE CROSS BLUE SHIELD OF KANSAS