Vituity - Kansas Medical Services PA

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

VITUITY - KANSAS MEDICAL SERVICES PA

Practice address

9700 W 62ND St
Shawnee, KS 66203-3220

Phone

(785) 989-4506

NPI assigned

Mar 28, 2023

Organization subpart

No

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

Authorized official

Name

Theophile Koury, M.D

Title

President

Phone

(510) 350-2638

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1144924713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST STE 400",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081872",
            "telephone_number": "510-350-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 W 62ND ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662033220",
            "telephone_number": "785-989-4506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6416 Long Ave",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "KS",
            "postal_code": "662162566",
            "country_code": "US",
            "telephone_number": "913-631-2146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Elmhurst Blvd",
            "address_purpose": "LOCATION",
            "city": "Salina",
            "state": "KS",
            "postal_code": "674017402",
            "country_code": "US",
            "telephone_number": "785-825-5471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 N Independence Ave",
            "address_purpose": "LOCATION",
            "city": "Beloit",
            "state": "KS",
            "postal_code": "674201639",
            "country_code": "US",
            "telephone_number": "785-738-3516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2626 Wesleyan Dr",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "KS",
            "postal_code": "669352440",
            "country_code": "US",
            "telephone_number": "785-738-3516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2112 US-36",
            "address_purpose": "LOCATION",
            "city": "Wathena",
            "state": "KS",
            "postal_code": "66090",
            "country_code": "US",
            "telephone_number": "785-989-3141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITUITY - KANSAS MEDICAL SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "KOURY",
        "authorized_official_first_name": "THEOPHILE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-350-2638",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.