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MONTOYA FAMILY PRACTICE PA NPI 1265592232


NPI Information

NPI: 1265592232
Provider Name: MONTOYA FAMILY PRACTICE, PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 17D1062511

Address:
1515 S CLIFTON AVE
SUITE 450
WICHITA, KS
ZIP 67218
Phone: (316) 618-0035
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MONTOYA FAMILY PRACTICE, PA is a family medicine in Wichita, KS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MONTOYA FAMILY PRACTICE, PA NPI is 1265592232. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1515 S CLIFTON AVE
SUITE 450
WICHITA, KS
ZIP 67218-900
Phone: (316) 618-0035
Fax: (316) 618-0010

The provider's authorized official is Natalia Montoya .
The authorized official title is Owner and has the following contact phone number (316) 618-0035.

The CLIA number assigned to this NPI record is 17D1062511 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/11/2006 and was last updated on 4/8/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily45218KANSASNo
2363A00000XPhysician Assistant15-00482KANSASNo
3363A00000XPhysician Assistant15-00731KANSASNo
4207Q00000XFamily Medicine0429228KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1103702OTHERKANSASMEDICARE PTAN
2200622560AMEDICAIDKANSAS
3111291OTHERKANSASBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.