NPIMap

Organization Active NPI

Preferred Medical Associates

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1043491186
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PREFERRED MEDICAL ASSOCIATES
Practice address
3009 N Cypress St
Wichita, KS 67226-4003
Phone
(316) 683-4334
Fax
(316) 687-3645
NPI assigned
Nov 16, 2007
Organization subpart
Yes
Parent organization
PREFERRED MEDICAL ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Authorized official

Name
Dr. Edward J Hett, MD
Title
President
Phone
(316) 268-8080

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 15-01184 KS

Addresses

Primary practice location

3009 N Cypress St
Wichita, KS 67226-4003

Mailing address

PO Box 764
Wichita, KS 67201-0764
Phone (316) 683-4334

Other identifiers 1

IdentifierTypeStateIssuer
100088910IMedicaidKS

Other names 1

  • VCMA NORTH CYPRESS Doing business as

National Provider Directory

National Provider Directory
Part of
PMC Inc Dba Snyder

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1043491186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 764",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672010764",
            "telephone_number": "316-683-4334",
            "fax_number": "316-687-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 N CYPRESS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264003",
            "telephone_number": "316-683-4334",
            "fax_number": "316-687-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED MEDICAL ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREFERRED MEDICAL ASSOCIATES",
        "enumeration_date": "2007-11-16",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "HETT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-268-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01184",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100088910I",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VCMA NORTH CYPRESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.