NPIMap

Organization Active NPI

JWM Medical Inc,.

Doing business as Ark Valley O & P

  • Prosthetic/Orthotic Supplier
  • El Dorado, KS
National Provider Identifier
1093777989
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
JWM MEDICAL INC,.
Doing business as
Ark Valley O & P
Practice address
700 W Central Ave
El Dorado, KS 67042-2184
Phone
(316) 321-0700
Fax
(316) 321-3717
NPI assigned
Apr 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Rex McKinney, CPO
Title
Orthotist /Prosthetist
Phone
(316) 321-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

700 W Central Ave
El Dorado, KS 67042-2184

Mailing address

700 W Central Ave
El Dorado, KS 67042-2184
Phone (316) 321-0700

Other names 1

  • ARK VALLEY O & P Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ark Valley O P3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

700 W Central Ave
El Dorado, KS 67042
Phone (316) 321-3300

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093777989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W CENTRAL AVE",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670422184",
            "telephone_number": "316-321-0700",
            "fax_number": "316-321-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W CENTRAL AVE",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670422184",
            "telephone_number": "316-321-0700",
            "fax_number": "316-321-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JWM MEDICAL INC,.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "REX",
        "authorized_official_title_or_position": "ORTHOTIST /PROSTHETIST",
        "authorized_official_telephone_number": "316-321-0700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARK VALLEY O & P",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Dorado, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.