NPIMap

Organization Active NPI

Wilmar C Rodriguez, M.D., Professional Association

  • Urology Physician
  • El Dorado, KS
National Provider Identifier
1164411286
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
24390 Issued in KS
Legal business name
WILMAR C RODRIGUEZ, M.D., PROFESSIONAL ASSOCIATION
Practice address
700 W Central Ave
Suite 106
El Dorado, KS 67042-2184
Phone
(316) 321-7683
Fax
(316) 322-7750
NPI assigned
Oct 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Wilmar Rodriguez, M.D.NPI 1902895022
Title
President
Phone
(316) 321-7683

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 24390 KS Primary

Addresses

Primary practice location

700 W Central Ave
Suite 106
El Dorado, KS 67042-2184

Mailing address

PO Box 847
El Dorado, KS 67042-0847
Phone (316) 321-7683

National Provider Directory

National Provider Directory

Locations

700 W Central Ave
Ste 106
El Dorado, KS 67042
Phone (316) 321-7683

Practitioners & affiliated clinicians

Practitioners 1

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": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164411286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670420847",
            "telephone_number": "316-321-7683",
            "fax_number": "316-322-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W CENTRAL AVE",
            "address_2": "SUITE 106",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670422184",
            "telephone_number": "316-321-7683",
            "fax_number": "316-322-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMAR C RODRIGUEZ, M.D., PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "WILMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-321-7683",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "KS",
            "license": "24390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, KS

Sources for this page

  • 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.