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WICHITA MEDICAL ASSOCIATES PA NPI 1396796991


NPI Information

NPI: 1396796991
Provider Name: WICHITA MEDICAL ASSOCIATES, PA
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 17D2205084

Address:
347 S LAURA ST
WICHITA, KS
ZIP 67211
Phone: (316) 686-7117
Get Directions

WICHITA MEDICAL ASSOCIATES, PA is a geriatric medicine internal medicine in Wichita, KS. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. WICHITA MEDICAL ASSOCIATES, PA NPI is 1396796991. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

347 S LAURA ST
WICHITA, KS
ZIP 67211
Phone: (316) 686-7117
Fax: (316) 686-2679

The provider's authorized official is Karen M Hernandez .
The authorized official title is Practice Manager and has the following contact phone number (316) 686-7117.

The CLIA number assigned to this NPI record is 17D2205084 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 10/1/2021.


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
1363LG0600XNurse PractitionerGerontology74898KANSASNo
2363LG0600XNurse PractitionerGerontology44906KANSASNo
3207RG0300XInternal MedicineGeriatric Medicine19204KANSASYes

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
1CN3326OTHERKANSASRAILROAD MEDICARE
2100004190AMEDICAIDKANSAS
3016291OTHERKANSASBCBS OF KANSAS

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.