Active NPI
Preferred Medical Associates
- Neurology with Special Qualifications in Child Neurology Physician
- Wichita, KS
National Provider Identifier
1205061017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- 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 ASSOCIATES
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100723300D | Medicaid | OK | |
| PENDING | Medicaid | KS |
Other names 1
- VCMA Peds Neuro
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.