Provider Demographics
NPI:1609559640
Name:CLOUD HEALTH MEDICAL GROUP OF KANSAS, P.A.
Entity Type:Organization
Organization Name:CLOUD HEALTH MEDICAL GROUP OF KANSAS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHET
Authorized Official - Middle Name:
Authorized Official - Last Name:THARPE, M.D.
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:707-347-9651
Mailing Address - Street 1:801 US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-3811
Mailing Address - Country:US
Mailing Address - Phone:707-347-9651
Mailing Address - Fax:
Practice Address - Street 1:4601 E DOUGLAS AVE # 700
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67218-1011
Practice Address - Country:US
Practice Address - Phone:707-347-9651
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-08
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty