Kermit R Rust Iii Diagnostic Radiology
551 N Hillside, Wichita, KS 67214-4926


Kermit R Rust Iii is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1194036574. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 6709879554. The medical credential is PA. The primary specialty is DIAGNOSTIC RADIOLOGY. The organization is WICHITA RADIOLOGICAL GROUP PROF ASSOC. The address is 551 N Hillside, Wichita, KS 67214-4926. The zip code is 67214.


Kermit R Rust Iii · 551 N Hillside, Wichita, KS 67214-4926

Nation Provider ID 1194036574
PAC ID by PECOS 6709879554
Professional Enrollment ID I20160607000262
Last Name RUST
First Name KERMIT
Middle Name R
Suffix III
Gender M
Credential PA
Medical School Name OTHER
Graduation Year 2010
Primary Specialty DIAGNOSTIC RADIOLOGY
Secondary Specialties INTERVENTIONAL RADIOLOGY, VASCULAR SURGERY
Primary Specialty WICHITA RADIOLOGICAL GROUP PROF ASSOC
Phone Number 3166851367
Group Practice PAC ID 6507762960
Number of Group Practice Members 29
Address 551 N HILLSIDE
WICHITA, KS 672144926
Claims Based Hospital Affiliation Claim Control Number (CCN): 170123
Legal Business Name: WESLEY MEDICAL CENTER
Claims Based Hospital Affiliation Claim Control Number (CCN): 170150
Legal Business Name: SOUTH CENTRAL KS MED CENTER
Claims Based Hospital Affiliation Claim Control Number (CCN): 171384
Legal Business Name: NEWMAN REGIONAL HEALTH
Claims Based Hospital Affiliation Claim Control Number (CCN): 170020
Legal Business Name: HUTCHINSON REGIONAL MEDICAL CENTER INC
Professional accepts Medicare Assignment Y

Wichita Radiological Group Prof Assoc · Medicare Physician

Name Address Specialty
Barbara Luder 551 N Hillside, Wichita, KS 67214-4926 RADIATION ONCOLOGY
Anthony Sirico 551 N Hillside, Wichita, KS 67214-4926 PHYSICIAN ASSISTANT
Amisha Khicha 551 N Hillside, Wichita, KS 67214-4926 DIAGNOSTIC RADIOLOGY
Richard Ahlstrand 551 N Hillside, Wichita, KS 67214-4926 DIAGNOSTIC RADIOLOGY
Claudia Lawn 551 N Hillside, Wichita, KS 67214-4926 DIAGNOSTIC RADIOLOGY
Lisa May 551 N Hillside, Wichita, KS 67214-4926 DIAGNOSTIC RADIOLOGY
Bruce Elson 551 N Hillside, Wichita, KS 67214-4926 DIAGNOSTIC RADIOLOGY
Richard Berger 551 N Hillside, Wichita, KS 67214-4926 DIAGNOSTIC RADIOLOGY
Timothy Gronlie 550 N Hillside St, Wichita, KS 67214-4910 DIAGNOSTIC RADIOLOGY
James Homan 551 N Hillside, Wichita, KS 67214-4926 DIAGNOSTIC RADIOLOGY
Arti Gupta 551 N Hillside, Wichita, KS 67214-4926 DIAGNOSTIC RADIOLOGY
David Brake 551 N Hillside, Wichita, KS 67214-4926 DIAGNOSTIC RADIOLOGY
Deborah Desilet Dobbs 551 N Hillside, Wichita, KS 67214-4926 DIAGNOSTIC RADIOLOGY
Joseph Black 551 N Hillside, Wichita, KS 67214-4926 PHYSICIAN ASSISTANT
Vincent Paul 551 N Hillside, Wichita, KS 67214-4926 DIAGNOSTIC RADIOLOGY
John Lohnes 551 N Hillside, Wichita, KS 67214-4926 DIAGNOSTIC RADIOLOGY
Thomas Bloxham 551 N Hillside, Wichita, KS 67214-4926 INTERNAL MEDICINE
Ellen Cooke 551 N Hillside, Wichita, KS 67214-4926 RADIATION ONCOLOGY
Daniel Davis 551 N Hillside, Wichita, KS 67214-4926 DIAGNOSTIC RADIOLOGY
John Coyner 551 N Hillside, Wichita, KS 67214-4926 DIAGNOSTIC RADIOLOGY

Zip 67214 · Diagnostic Radiology · Medicare Physician

Name Address Specialty
Tariq Suwan 929 N Saint Francis St, Wichita, KS 67214-3821 DIAGNOSTIC RADIOLOGY
David Brake 551 N Hillside, Wichita, KS 67214-4926 DIAGNOSTIC RADIOLOGY
Daniel Gillespie 929 N Saint Francis St, Wichita, KS 67214-3821 DIAGNOSTIC RADIOLOGY
Arti Gupta 551 N Hillside, Wichita, KS 67214-4926 DIAGNOSTIC RADIOLOGY
Robert Schmaltz 929 N Saint Francis St, Wichita, KS 67214-3821 DIAGNOSTIC RADIOLOGY
Timothy Benning 929 N Saint Francis St, Wichita, KS 67214-3821 DIAGNOSTIC RADIOLOGY
Daniel Davis 551 N Hillside, Wichita, KS 67214-4926 DIAGNOSTIC RADIOLOGY
Adam Zarchan 551 N Hillside, Wichita, KS 67214-4926 DIAGNOSTIC RADIOLOGY
Kamran Ali 551 N Hillside, Wichita, KS 67214-4926 DIAGNOSTIC RADIOLOGY
Christopher Baalmann 551 N Hillside, Wichita, KS 67214-4926 DIAGNOSTIC RADIOLOGY
David Gutschenritter 929 N Saint Francis St, Wichita, KS 67214-3821 DIAGNOSTIC RADIOLOGY
John Coyner 551 N Hillside, Wichita, KS 67214-4926 DIAGNOSTIC RADIOLOGY
Richard Berger 551 N Hillside, Wichita, KS 67214-4926 DIAGNOSTIC RADIOLOGY
Vincent Paul 551 N Hillside, Wichita, KS 67214-4926 DIAGNOSTIC RADIOLOGY
Deborah Desilet Dobbs 551 N Hillside, Wichita, KS 67214-4926 DIAGNOSTIC RADIOLOGY
Nicholas Brewer 929 N Saint Francis St, Wichita, KS 67214-3821 DIAGNOSTIC RADIOLOGY
Richard Ahlstrand 551 N Hillside, Wichita, KS 67214-4926 DIAGNOSTIC RADIOLOGY
Thomas Flynn 929 N Saint Francis St, Wichita, KS 67214-3821 DIAGNOSTIC RADIOLOGY
Thomas Cox 929 N Saint Francis St, Wichita, KS 67214-3821 DIAGNOSTIC RADIOLOGY
Darren Orme 929 N Saint Francis St, Wichita, KS 67214-3821 DIAGNOSTIC RADIOLOGY

Zip 67214 · Medicare Physician

Name Address Specialty
Amy Bornholdt 1100 N St Francis, Wichita, KS 67214-2865 PHYSICIAN ASSISTANT
Samuel Stephens 707 N Emporia, Wichita, KS 67214-3707 FAMILY PRACTICE
Pamela Goebel-roberts 1900 E 9th N St, Wichita, KS 67214-3115 NURSE PRACTITIONER
Jonathan Cremin 550 N Hillside St, Wichita, KS 67214-4910 ANESTHESIOLOGY
Cynthia Nash 929 N St Francis, Wichita, KS 67214-3821 FAMILY PRACTICE
Edgard Wehbe 320 N Hillside, Wichita, KS 67214-4918 NEPHROLOGY
Lindsay Byrnes 929 N Saint Francis St, Wichita, KS 67214-3821 INTERNAL MEDICINE
Joan Tash 550 N Hillside St, Wichita, KS 67214-4910 CERTIFIED REGISTERED NURSE ANESTHETIST
Bryan Adams 929 N St Francis, Wichita, KS 67214-9999 CERTIFIED REGISTERED NURSE ANESTHETIST
David Kingrey 1100 N Topeka, Wichita, KS 67214-2810 OPHTHALMOLOGY
Allen Schmidt 929 N St Francis, Wichita, KS 67214-3821 CLINICAL SOCIAL WORKER
Dong Dai 550 N Hillside St, Wichita, KS 67214-4910 ANESTHESIOLOGY
David Miller 550 N Hillside, Wichita, KS 67214-4914 FAMILY PRACTICE
James Pigg 929 N St Francis, Wichita, KS 67214-3821 ORTHOPEDIC SURGERY
Marilee Mcboyle 929 N St Francis, Wichita, KS 67214-3821 GENERAL SURGERY
Stephen Rhinehart 550 N Hillside, Wichita, KS 67214-9489 CERTIFIED REGISTERED NURSE ANESTHETIST
Christine Schrag 929 N Saint Francis St, Wichita, KS 67214-3821 INTERNAL MEDICINE
Thomas Moore 1100 N St Francis, Wichita, KS 67214-2865 INFECTIOUS DISEASE
Kerin Schell 2601 E Central Ave, Wichita, KS 67214-4675 CLINICAL PSYCHOLOGIST
Janelle Smarsh 929 N St Francis, Wichita, KS 67214-9999 CERTIFIED REGISTERED NURSE ANESTHETIST