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IRICK FAMILY MEDICINE PA NPI 1346427028


NPI Information

NPI: 1346427028
Provider Name: IRICK FAMILY MEDICINE, PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 17D1080068

Address:
15270 W 119TH ST
OLATHE, KS
ZIP 66062
Phone: (913) 829-8833
Get Directions

IRICK FAMILY MEDICINE, PA is a family medicine in Olathe, 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. IRICK FAMILY MEDICINE, PA NPI is 1346427028. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15270 W 119TH ST
OLATHE, KS
ZIP 66062-604
Phone: (913) 829-8833
Fax: (913) 768-4827

The provider's authorized official is Constance M Irick .
The authorized official title is Owner and has the following contact phone number (913) 829-8833.

The CLIA number assigned to this NPI record is 17D1080068 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2008 and was last updated on 2/12/2010.


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
1207Q00000XFamily Medicine04-22030KANSASYes

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
1KA1070MEDICARE PINKANSAS
2C51987MEDICARE UPINKANSAS

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

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