Michael Antonio Palomino, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

046712 Issued in KS

Practice address

7570 W. 21St St. N.
Building 1042 Suite a
Wichita, KS 67205

Phone

(316) 854-3526

NPI assigned

Jun 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1023213147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7570 W. 21ST ST. N.",
            "address_2": "BUILDING 1042 SUITE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67205",
            "telephone_number": "316-854-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 W. 21ST ST. N.",
            "address_2": "BUILDING 1042 SUITE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67205",
            "telephone_number": "316-854-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMINO",
        "first_name": "MICHAEL",
        "middle_name": "ANTONIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "046712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200664530A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela S Palmer, P.T.
• Renaire Deautre Palmer II
• Samuel Barnett Palmer, PA-C
• Susan L Palmer, PT
• Elizabeth Palmgren, CPTA
• Elizabeth F Palone
• Marvin Pamatmat, CRNA
• Cameron Lynn Paneiko
• Deborah S Pankey, FNP
• Tyler James Panko, DC

• Family Medicine Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.