Jonathon J Bartholomew, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15-00616 Issued in KS

Practice address

4722 W Kellogg Dr
Wichita, KS 67209-2508

Phone

(316) 440-2565

Fax

(316) 440-2750

NPI assigned

Oct 19, 2006

Last updated

Mar 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jonathon Bartholomew Professional name

Electronic endpoints 4

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hylo Urgent Care Clinics, P.a.Group PAC ID 7618042698, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: billing@imcwichita.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hylo Urgent Care Clinics, P.a.

  • Urgent Care Clinic/Center
  • Wichita, KS
  • NPI 1821260183
  Medicare reassignment Care Compare group NPD
• Hylo Urgent Care Clinics, P.a.

  • Durable Medical Equipment & Medical Supplies
  • Wichita, KS
  • NPI 1477190999
  NPD
• Emergency Services, PA

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1629028881
  NPD (past)
• Runway Emergency Physicians LLC

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1063751352
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1235211699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4722 W KELLOGG DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672092508",
            "telephone_number": "316-440-2565",
            "fax_number": "316-440-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4722 W KELLOGG DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672092508",
            "telephone_number": "316-440-2565",
            "fax_number": "316-440-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTHOLOMEW",
        "first_name": "JONATHON",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-00616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@imcwichita.com",
            "affiliation": "N",
            "address_1": "4722 W Kellogg Dr",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672092508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@imcwichita.com",
            "affiliation": "N",
            "address_1": "5838 E Central Ave",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672084203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@imcwichita.com",
            "affiliation": "N",
            "address_1": "3560 N Maize Rd Ste 106",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672057393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@imcwichita.com",
            "affiliation": "N",
            "address_1": "7030 S Broadway Ave",
            "city": "Haysville",
            "state": "KS",
            "country_code": "US",
            "postal_code": "670601471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JONATHON",
            "last_name": "BARTHOLOMEW",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Chelsea Barson, FNP-C
• Anthony Barta, DC
• Ely Bartal, M.D.
• Erin Bartel, DPT
• Ronald J. Barth, D.C.
• Megan Renee Bartley, OTD, OTR/L
• Tiffany Corrine Bartley, BA IMH-E
• Christina Barton
• Jared B Barton, CRNA
• Lori Lynne Barton, O.D.

• Physician Assistant in Wichita, KS
• Providers in Wichita, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.