Lillian R Harstine MD PA

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

04-17007 Issued in KS

Legal business name

LILLIAN R HARSTINE MD PA

Practice address

3223 N Webb Rd
S 3
Wichita, KS 67226-8175

Phone

(316) 609-3030

Fax

(316) 609-3080

NPI assigned

Jun 3, 2010

Organization subpart

No

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

Authorized official

Name

Lillian R Harstine, MD

Title

President

Phone

(316) 609-3030

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1134449937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 N WEBB RD",
            "address_2": "S 3",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268175",
            "telephone_number": "316-609-3030",
            "fax_number": "316-609-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 N WEBB RD",
            "address_2": "S 3",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268175",
            "telephone_number": "316-609-3030",
            "fax_number": "316-609-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLIAN R HARSTINE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "HARSTINE",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-609-3030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "KS",
            "license": "04-17007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endocrinology, Diabetes & Metabolism Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Endocrinology, Diabetes & Metabolism Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.