NPIMap

Organization Active NPI

Kansas Physicians Group, LLC

Doing business as Internal Medicine Specialists of Wichita

  • Internal Medicine Physician
  • Wichita, KS
National Provider Identifier
1174857346
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KANSAS PHYSICIANS GROUP, LLC
Doing business as
Internal Medicine Specialists of Wichita
Practice address
9449 E 21St St N
Suite 200
Wichita, KS 67206-2969
Phone
(316) 462-1070
Fax
(316) 462-1078
NPI assigned
Sep 22, 2009
Last updated
Mar 29, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
GALICHIA HEART HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Steve J Harris
Title
Ceo of Galichia Heart Hospital
Phone
(316) 858-2601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X KS Primary

Addresses

Primary practice location

9449 E 21St St N
Suite 200
Wichita, KS 67206-2969

Mailing address

PO Box 47163
Wichita, KS 67201-7163
Phone (316) 462-1070

Other identifiers 1

IdentifierTypeStateIssuer
1083693634OtherKSALY GADALLA, MD

Other names 1

  • INTERNAL MEDICINE SPECIALISTS OF WICHITA Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1174857346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47163",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672017163",
            "telephone_number": "316-462-1070",
            "fax_number": "316-462-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9449 E 21ST ST N",
            "address_2": "SUITE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062969",
            "telephone_number": "316-462-1070",
            "fax_number": "316-462-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS PHYSICIANS GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GALICHIA HEART HOSPITAL",
        "enumeration_date": "2009-09-22",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO OF GALICHIA HEART HOSPITAL",
        "authorized_official_telephone_number": "316-858-2601"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALY GADALLA, MD",
            "identifier": "1083693634",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTERNAL MEDICINE SPECIALISTS OF WICHITA",
            "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 Mar 29, 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.