Hillside Medical Group, P.a.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

HILLSIDE MEDICAL GROUP, P.A.

Practice address

1700 E 9TH Ave
Winfield, KS 67156-3220

Phone

(620) 221-0110

Fax

(620) 221-0623

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Alvin D Bird, M.D.

Title

President

Phone

(620) 221-0110

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Osteopathic Clinic, P.A. Former legal business name

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1063453959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E 9TH AVE",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671563220",
            "telephone_number": "620-221-0110",
            "fax_number": "620-221-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E 9TH AVE",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671563220",
            "telephone_number": "620-221-0110",
            "fax_number": "620-221-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE MEDICAL GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-221-0110",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "110252",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osteopathic Clinic, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home at Last

• General Practice Physician in Winfield, KS
• Providers in Winfield, KS by specialty
• General Practice Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.