Organization Active NPI

Tonganoxie Family Care

  • Family Medicine Physician
  • Tonganoxie, KS
National Provider Identifier
1093808404
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TONGANOXIE FAMILY CARE
Practice address
508 E 4TH St
Tonganoxie, KS 66086-8920
Phone
(913) 369-2353
Fax
(913) 845-2258
NPI assigned
Sep 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. James T Paquette
Title
Ceo
Phone
(913) 596-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

508 E 4TH St
Tonganoxie, KS 66086-8920

Mailing address

PO Box 12406
Kansas City, KS 66112-0406
Phone (913) 369-2353

Other identifiers 1

IdentifierTypeStateIssuer
26114019OtherBCBS KANSAS

National Provider Directory

National Provider Directory

Locations

508 E 4th St
Tonganoxie, KS 66086
Phone (913) 369-2353

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093808404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12406",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661120406",
            "telephone_number": "913-369-2353",
            "fax_number": "913-845-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 E 4TH ST",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660868920",
            "telephone_number": "913-369-2353",
            "fax_number": "913-845-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONGANOXIE FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAQUETTE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "913-596-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSAS",
            "identifier": "26114019",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonganoxie, 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.