Active NPI
Robert Lamar Eyster, M.D.
- Orthopaedic Surgery Physician
- Wichita, KS
National Provider Identifier
1063416048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 15948
- Practice address
- 1131 S Clifton Ave
Wichita, KS 67218-2955 - Phone
- (316) 858-1600
- Fax
- (316) 858-1601
- NPI assigned
- Jun 8, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 15948 | KS | Primary |
Addresses
Primary practice location
1131 S Clifton Ave
Wichita, KS 67218-2955
Mailing address
1131 S Clifton Ave
Wichita, KS 67218-2955
Phone (316) 858-1600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100152180C | Medicaid | KS | |
| 200041418 | Other | KS | RAILROAD MEDICARE PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15948 | KS | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas Surgery & Recovery Center LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/kansas-097cbc8a
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Wichita, KS
- NPI 1306827878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208390400000",
"number": "1063416048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1131 S CLIFTON AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672182955",
"telephone_number": "316-858-1600",
"fax_number": "316-858-1601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 S CLIFTON AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672182955",
"telephone_number": "316-858-1600",
"fax_number": "316-858-1601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EYSTER",
"first_name": "ROBERT",
"middle_name": "LAMAR",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2008-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "KS",
"license": "15948",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100152180C",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "200041418",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
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 Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.