Organization Active NPI

Preferred Medical Associates

  • Neurology with Special Qualifications in Child Neurology Physician
  • Wichita, KS
National Provider Identifier
1205061017
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
Legal business name
PREFERRED MEDICAL ASSOCIATES
Doing business as
VCMA Peds Neuro
Practice address
848 N Saint Francis St
Ste. 3949
Wichita, KS 67214-3800
Phone
(316) 268-8040
Fax
(316) 291-4880
NPI assigned
May 22, 2009
Organization subpart
Yes
Parent organization
PREFERRED MEDICAL ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Authorized official

Name
Dr. Edward J Hett, MD
Title
President
Phone
(316) 268-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0402X Primary

Addresses

Primary practice location

848 N Saint Francis St
Ste. 3949
Wichita, KS 67214-3800

Mailing address

848 N Saint Francis St
Ste. 3949
Wichita, KS 67214-3800
Phone (316) 268-8040

Other identifiers 2

IdentifierTypeStateIssuer
100723300DMedicaidOK
PENDINGMedicaidKS

Other names 1

  • VCMA Peds Neuro Doing business as

National Provider Directory

National Provider Directory
Part of
PMC Inc Dba Snyder

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1205061017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 N SAINT FRANCIS ST",
            "address_2": "STE. 3949",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143800",
            "telephone_number": "316-268-8040",
            "fax_number": "316-291-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 N SAINT FRANCIS ST",
            "address_2": "STE. 3949",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143800",
            "telephone_number": "316-268-8040",
            "fax_number": "316-291-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED MEDICAL ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREFERRED MEDICAL ASSOCIATES",
        "enumeration_date": "2009-05-22",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "HETT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-268-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100723300D",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VCMA Peds Neuro",
            "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 Jul 14, 2010; 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.