Organization Active NPI

County of Stanton

  • Family Medicine Physician
  • Johnson, KS
National Provider Identifier
1013978485
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COUNTY OF STANTON
Practice address
114 N Main St
Johnson, KS 67855-0639
Phone
(620) 492-1400
Fax
(620) 492-1608
NPI assigned
Mar 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cheryl Wilkerson
Title
Office Manager
Phone
(620) 492-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

114 N Main St
Johnson, KS 67855-0639

Mailing address

114 N Main St
Box 639
Johnson, KS 67855-0639
Phone (620) 492-1400

Other identifiers 1

IdentifierTypeStateIssuer
110737OtherKSBC

Other names 1

  • Stanton County Family Practice Other name

National Provider Directory

National Provider Directory

Locations

114 N Main St
#639
Johnson, KS 67855
Phone (620) 492-1400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1013978485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N MAIN ST",
            "address_2": "BOX 639",
            "city": "JOHNSON",
            "state": "KS",
            "postal_code": "678550639",
            "telephone_number": "620-492-1400",
            "fax_number": "620-492-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N MAIN ST",
            "city": "JOHNSON",
            "state": "KS",
            "postal_code": "678550639",
            "telephone_number": "620-492-1400",
            "fax_number": "620-492-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF STANTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "620-492-1400"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "110737",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stanton County Family Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Johnson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.