Primary Medical Associates Chartered

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

05-24235 Issued in KS

Legal business name

PRIMARY MEDICAL ASSOCIATES CHARTERED

Practice address

7348 W 21St St N
Suite 121
Wichita, KS 67205-1793

Phone

(316) 722-0103

Fax

(316) 722-2333

NPI assigned

Apr 26, 2010

Last updated

Aug 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Shuck, D.O.NPI 1356454037

Title

President

Phone

(316) 722-0103

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael W Shuck, D.O.

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1356454037
  Authorized official Same address or phone
• Julie Cecile Short, APRN

  • Primary Care Nurse Practitioner
  • Wichita, KS
  • NPI 1851891352
  NPD (past)

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1144547506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7348 W 21ST ST N",
            "address_2": "SUITE 121",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051793",
            "telephone_number": "316-722-0103",
            "fax_number": "316-722-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7348 W 21ST ST N",
            "address_2": "SUITE 121",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051793",
            "telephone_number": "316-722-0103",
            "fax_number": "316-722-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY MEDICAL ASSOCIATES CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "SHUCK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-722-0103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-24235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ocean Mariah Price
• Rebecca Hilary Price
• Derrick Prichard, LCMFT
• Gaia R Priddle, RPH
• Primary Care Associates, LLC
• Prime Fit Youth Foundation
• Prime Life Counseling, LLC
• Jennifer Primeaux, M.S., LCPC, NCC, ATR
• Andrea Primm, LMFT
• Rebecca Webster Pringle, DDS

• Family Medicine Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.