Active NPI
Ronald C Ferris MD
- Physician Assistant
- Wichita, KS
National Provider Identifier
1164529368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- T02828
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-27664 | KS | |
| Physician Assistant | 363A00000X | T02828 | KS | Primary |
| Nurse Practitioner | 363L00000X | 46056 | KS | |
| Nurse Practitioner | 363L00000X | 46255 | KS | |
| Family Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111035 | Other | KS | BCBS |
| 200362010A | Medicaid | KS |
Other names 1
- HOLY FAMILY MEDICAL ASSOCIATES LLP
National Provider Directory
National Provider DirectoryPractitioners & 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.