NPIMap

Organization Active NPI

Ron J Marek DO P a

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1073577292
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05-25073 Issued in KS
Legal business name
RON J MAREK DO P A
Practice address
1901 N Maize Road
Wichita, KS 67212
Phone
(316) 462-1050
Fax
(316) 462-1053
NPI assigned
Apr 14, 2006
Last updated
Nov 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Authorized official

Name
Jessie McCormick
Title
Clinic Administrator
Phone
(316) 462-1050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05-25073 KS Primary

Addresses

Primary practice location

1901 N Maize Road
Wichita, KS 67212

Mailing address

1901 N Maize Road
Wichita, KS 67212
Phone (316) 462-1050

Other identifiers 1

IdentifierTypeStateIssuer
100395780AMedicaidKS

National Provider Directory

National Provider Directory

Locations

1901 N Maize Rd
Wichita, KS 67212
Phone (316) 462-1050

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1073577292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N MAIZE ROAD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67212",
            "telephone_number": "316-462-1050",
            "fax_number": "316-462-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N MAIZE ROAD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67212",
            "telephone_number": "316-462-1050",
            "fax_number": "316-462-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RON J MAREK DO P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "316-462-1050"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-25073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100395780A",
            "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 Nov 22, 2022; 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.