Endoscopic Services, P.a.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

S-087-008 Issued in KS

Legal business name

ENDOSCOPIC SERVICES, P.A.

Practice address

1431 Bluffview St Ste 215
Wichita, KS 67218-3039

Phone

(316) 687-0234

Fax

(316) 687-0360

NPI assigned

Jun 24, 2006

Last updated

Aug 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jace Ward Hyder, M.D.NPI 1336172907

Title

Ceo

Phone

(316) 687-0234

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jace W. Hyder, M.D.

  • Surgery Physician
  • Andover, KS
  • NPI 1336172907
  NPD Authorized official
• Karen L Cantu

  • Neonatal Intensive Care Registered Nurse
  • Wichita, KS
  • NPI 1033831219
  NPD

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1205862984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 BLUFFVIEW ST STE 215",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183039",
            "telephone_number": "316-687-0234",
            "fax_number": "316-687-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 BLUFFVIEW ST STE 215",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183039",
            "telephone_number": "316-687-0234",
            "fax_number": "316-687-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOSCOPIC SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "HYDER",
        "authorized_official_first_name": "JACE",
        "authorized_official_middle_name": "WARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "316-687-0234",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "KS",
            "license": "S-087-008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100216580A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "015223",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Carl Emrick, O.D.
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• Encounter Freedom Services LLC
• Endocrine Center of Kansas, LLC
• Kacie Engel, PA
• Maria Engelhardt, RN, CCM
• Vicki J Engelhardt, RD, LD, CNSD
• Engelken Chiropractic
• David Leroy Engelken, D.C.

• Ambulatory Surgical Clinic/Center in Wichita, KS
• Providers in Wichita, KS by specialty
• Ambulatory Surgical Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.