Organization Active NPI

Ronald C Ferris MD

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1164529368
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
T02828 Issued in KS
Legal business name
RONALD C FERRIS MD
Practice address
144 S Hillside St
Wichita, KS 67211-2154
Phone
(316) 682-9900
Fax
(316) 682-0311
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Authorized official

Name
Brenda Thanel
Title
Office Manager
Phone
(316) 682-9900

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 04-27664 KS
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X T02828 KS Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 46056 KS
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 46255 KS
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 104077 KS

Addresses

Primary practice location

144 S Hillside St
Wichita, KS 67211-2154

Mailing address

144 S Hillside St
Wichita, KS 67211-2154
Phone (316) 682-9900

Other identifiers 2

IdentifierTypeStateIssuer
111035OtherKSBCBS
200362010AMedicaidKS

Other names 1

  • HOLY FAMILY MEDICAL ASSOCIATES LLP Doing business as

National Provider Directory

National Provider Directory

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1164529368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112154",
            "telephone_number": "316-682-9900",
            "fax_number": "316-682-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112154",
            "telephone_number": "316-682-9900",
            "fax_number": "316-682-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD C FERRIS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "THANEL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "316-682-9900"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-27664",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "T02828",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "46056",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "46255",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "104077",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "111035",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200362010A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOLY FAMILY MEDICAL ASSOCIATES LLP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.