Individual ProviderGideon Orang'INurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3343 W Central Ave, Wichita, KS 67203-4917(316) 260-4110PECOS EnrollmentBased on the most recent information from CMS, provider Gideon Orang'I is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1609631225Provider TypeIndividualFull NameOrang'I, GideonCredentialAPRNGenderMaleSole ProprietorYesEnumeration Date2/14/2024Last Updated7/15/2024Contact InformationPractice LocationPractice Address3343 W Central Ave, Wichita, KS 67203-4917Phone(316) 260-4110FaxUnlisted FaxMailing LocationMailing Address1007 N Emporia Ave, Wichita, KS 67214-2908PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense53-82973-061KansasCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense53-82973-061Kansas