Tallgrass Imaging Associates, L.L.C.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

TALLGRASS IMAGING ASSOCIATES, L.L.C.

Practice address

7111 E 21St St N
Suite B
Wichita, KS 67206-1078

Phone

(316) 925-4624

Fax

(316) 925-4625

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Randy Wayne Wickersham

Title

VP of Operations

Phone

(405) 418-2200

Specialties & licenses 1

Addresses

Other names 1

• Tallgrass Diagnostic Imaging Doing business as

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Primary Care Associates, LLC

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1003832403

  Member Of

  NPD member
• Wichita Family Medicine Specialists, LLC

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1376504084

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124103379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 E 21ST ST N",
            "address_2": "SUITE B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061078",
            "telephone_number": "316-925-4624",
            "fax_number": "316-925-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 E 21ST ST N",
            "address_2": "SUITE B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061078",
            "telephone_number": "316-925-4624",
            "fax_number": "316-925-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLGRASS IMAGING ASSOCIATES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WICKERSHAM",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "405-418-2200"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tallgrass Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ali Taleb
• Sheelagh Talkington Sy, LMSW
• Merlene K Talley, AAPS
• Tallgrass Eyecare LLC
• Tallgrass Family Medicine, LLC
• Tallgrass Open MRI, L.L.C.
• Laura Marie Tambling
• Joan Tammany, LMLP
• Cheryl Tan
• Donald C S Tan, MD

• Radiology Clinic/Center in Wichita, KS
• Providers in Wichita, KS by specialty
• Radiology Clinic/Center in Kansas

• 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.