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

Sex

Male

Sole proprietor

No

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

• Hylo Urgent Care Clinics, P.a.

  • Urgent Care Clinic/Center
  • Wichita, KS
  • NPI 1821260183

  KS

  Medicare reassignment Care Compare group NPD
• Hylo Urgent Care Clinics, P.a.

  • Durable Medical Equipment & Medical Supplies
  • Wichita, KS
  • NPI 1477190999
  Care Compare group NPD
• Hylo Urgent Care Clinics, P.a.

  • Durable Medical Equipment & Medical Supplies
  • Wichita, KS
  • NPI 1073926523
  Care Compare group
• 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)

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. 14 clinicians

Practice addresses (Care Compare)

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

• Jonathon Bartholomew Professional name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 30, 2021.

{
    "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
• Jared B Barton, CRNA
• Lori Lynne Barton, O.D.
• Melissa A Barton

• All providers in Wichita, KS
• 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.