Provider Demographics
NPI:1396815353
Name:SHARON K. BREIT, M.D. P.A.
Entity Type:Organization
Organization Name:SHARON K. BREIT, M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:BREIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:316-634-0060
Mailing Address - Street 1:10111 E 21ST ST N
Mailing Address - Street 2:SUITE 301
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-3508
Mailing Address - Country:US
Mailing Address - Phone:316-634-0060
Mailing Address - Fax:316-634-0050
Practice Address - Street 1:10111 E 21ST ST N
Practice Address - Street 2:SUITE 301
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-3508
Practice Address - Country:US
Practice Address - Phone:316-634-0060
Practice Address - Fax:316-634-0050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0423858207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSF29502Medicare UPIN
KS110703Medicare PIN