Central Kansas Family Practice, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CENTRAL KANSAS FAMILY PRACTICE, P.A.

Practice address

1309 Polk St
Great Bend, KS 67530-3618

Phone

(620) 792-5341

Fax

(620) 792-3702

NPI assigned

Aug 9, 2005

Last updated

Aug 22, 2020By 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

Perry M Smith, M.D.NPI 1124029392

Title

President

Phone

(620) 792-5341

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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.

• Perry M Smith, M.D.

  • Family Medicine Physician
  • Great Bend, KS
  • NPI 1124029392
  Authorized official Same address or phone

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235130675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 POLK ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303618",
            "telephone_number": "620-792-5341",
            "fax_number": "620-792-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 POLK ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303618",
            "telephone_number": "620-792-5341",
            "fax_number": "620-792-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL KANSAS FAMILY PRACTICE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-792-5341",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "016135",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RURAL HEALTH MEDICARE",
            "identifier": "173885",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Care PA (Central Care Cancer Center)
• Central Care, PA (Central Care Cancer Center)
• Central Care, PA (Central Care Cancer Center)
• Central Kansas Anesthesia PA
• Central Kansas Emergency Physicians
• Central Kansas Health Equipment
• Central Kansas Health Equipment
• Central Kansas Medical Center (St Rose Family Medicine & Urgent Care Clinic)
• Central Kansas Medical Center (Central Kansas Women's Health Center)
• Central Kansas Medical Center (Golden Belt Home Health and Hospice)

• Family Medicine Physician in Great Bend, KS
• Providers in Great Bend, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.