Wichita Pulmonary Consulting, P.a.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

0421905 Issued in KS

Legal business name

WICHITA PULMONARY CONSULTING, P.A.

Practice address

3600 E Harry St
Wichita, KS 67218-3713

Phone

(316) 268-5000

NPI assigned

Nov 3, 2006

Last updated

Feb 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Georgia Denne

Title

Manager

Phone

(316) 269-5000

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1083793848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "ROSE HILL",
            "state": "KS",
            "postal_code": "671330220",
            "telephone_number": "316-269-5000",
            "fax_number": "316-269-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183713",
            "telephone_number": "316-268-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA PULMONARY CONSULTING, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "DENNE",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "316-269-5000"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KS",
            "license": "0421905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100134240B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "058980",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Wichita Radiological Group Prof Assoc
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• Wichita Radiological Group Prof Assoc
• Wichita Rehab and Wellness L.L.C
• Wichita Rehabilitation Hospital LLC (Rehabilitation Hospital at Sandpiper)

• Pulmonary Disease Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Pulmonary Disease Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.