High Plains Medical Specialists LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HIGH PLAINS MEDICAL SPECIALISTS LLC

Practice address

2 Plaza Dr
Liberal, KS 67901-2743

Phone

(620) 624-5691

Fax

(620) 624-3656

NPI assigned

Apr 7, 2006

Organization subpart

No

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

Authorized official

Name

Mandi Milhon

Title

Biller

Phone

(620) 624-5691

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1053374579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PLAZA DR",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012743",
            "telephone_number": "620-624-5691",
            "fax_number": "620-624-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PLAZA DR",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012743",
            "telephone_number": "620-624-5691",
            "fax_number": "620-624-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH PLAINS MEDICAL SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "MILHON",
        "authorized_official_first_name": "MANDI",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "620-624-5691"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100338160A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS",
            "identifier": "110482",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.