MR. RICK PUSTKA P.A. NPI 1124088703

NPI Information

  • NPI: 1124088703
  • Provider Name: MR. RICK PUSTKA, P.A.
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 2610 N WOODLAWN BLVD
    WICHITA, KS
    ZIP 67220
  • Phone: (316) 858-2601

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NPI Details

MR. Rick Pustka, P.A. is a surgical physician assistant in Wichita, KS. MR. Rick Pustka, P.A. NPI is 1124088703. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2610 N WOODLAWN BLVD
WICHITA, KS
ZIP 67220-729
Phone: (316) 858-2601
Fax: (316) 858-2793

The enumeration date for this NPI number is 3/27/2006 and was last updated on 4/28/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical1500950KANSASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200260850AMEDICAIDKANSAS
2R93392MEDICARE UPINKANSAS
3426745MEDICARE ID-TYPE UNSPECIFIEDKANSAS

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: 11/21/2025

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