Active NPI
County of Stanton
- Family Medicine Physician
- Johnson, KS
National Provider Identifier
1013978485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110737 | Other | KS | BC |
Other names 1
- Stanton County Family Practice
National Provider Directory
National Provider DirectoryLocations
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.