NPIMap

Organization Active NPI

Taduran Sports Medicine and Osteopathic Wellness Center

  • Medical Specialty Clinic/Center
  • Liberal, KS
National Provider Identifier
1134443237
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
05-34185 Issued in KS
Legal business name
TADURAN SPORTS MEDICINE AND OSTEOPATHIC WELLNESS CENTER
Practice address
102 E 11TH St
Liberal, KS 67901-2784
Phone
(620) 624-2565
NPI assigned
Mar 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Authorized official

Name
Troy Virgil Maypa Taduran, D.O.
Title
Owner
Phone
(620) 624-2565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 05-34185 KS Primary

Addresses

Primary practice location

102 E 11TH St
Liberal, KS 67901-2784

Mailing address

102 E 11TH St
Liberal, KS 67901-2784
Phone (620) 624-2565

Other identifiers 2

IdentifierTypeStateIssuer
05-34185OtherKSLICENSE
OS 9896OtherFLLICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1134443237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E 11TH ST",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012784",
            "telephone_number": "620-624-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E 11TH ST",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012784",
            "telephone_number": "620-624-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TADURAN SPORTS MEDICINE AND OSTEOPATHIC WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "TADURAN",
        "authorized_official_first_name": "TROY VIRGIL",
        "authorized_official_middle_name": "MAYPA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-624-2565",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "KS",
            "license": "05-34185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "05-34185",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OS 9896",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberal, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.