Preferred Medical Associates

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PREFERRED MEDICAL ASSOCIATES

Doing business as

Vcma Andover

Practice address

308 E Central
Andover, KS 67002

Phone

(316) 733-1331

Fax

(316) 733-4916

NPI assigned

Nov 16, 2007

Last updated

Jul 14, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

PREFERRED MEDICAL ASSOCIATESAs reported in NPPES

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 4

Addresses

Other identifiers 1

Other names 1

• VCMA ANDOVER Doing business as

Part of

Pref Med Ass Dba Pma Ge

Locations

Practitioners 16

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.

• Alex D Ammar, MD

  • Vascular Surgery Physician
  • Wichita, KS
  • NPI 1811994676
  NPD (past)
• Susan L Carr, MD

  • Psychiatry Physician
  • Wichita, KS
  • NPI 1720041080
  NPD (past)
• Mary E Faragher, ARNP

  • Nurse Practitioner
  • Andover, KS
  • NPI 1871525352
  NPD (past)
• Mary K Goodwin, MD

  • Family Medicine Physician
  • Cheney, KS
  • NPI 1558322446
  NPD (past)
• Debbie R Gruenbacher, DO

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1578520029
  NPD (past)
• Jared Loran Johnson, MD

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1245435452
  NPD (past)
• Linda S Kendrick, PA-C

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1548235039
  NPD (past)
• Nancy L Kirk, PA-C

  • Physician Assistant
  • Wichita, KS
  • NPI 1215997861
  NPD (past)
• Joseph M Sack, MD, CMD

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1962475343
  NPD (past)
• Carolina M Soria, DO

  • Family Medicine Physician
  • Goddard, KS
  • NPI 1023079852
  NPD (past)
• Catherine E. Vitosh, M.D.

  • Family Medicine Physician
  • Derby, KS
  • NPI 1124181573
  NPD (past)
• Rose E. Wusterbarth, PA-C

  • Medical Physician Assistant
  • Wichita, KS
  • NPI 1407818891
  NPD (past)

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1235310376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 764",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672010764",
            "telephone_number": "316-733-1331",
            "fax_number": "316-733-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 E CENTRAL",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "67002",
            "telephone_number": "316-733-1331",
            "fax_number": "316-733-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED MEDICAL ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREFERRED MEDICAL ASSOCIATES",
        "enumeration_date": "2007-11-16",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100088910O",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VCMA ANDOVER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy H Pierce, LMSW
• Matt Plank, PHARMD
• Bridgette K Pocock, PA
• Rodney Paul Poe, D.C.
• Rachel Marie Porter, APRN, FNP-C
• Price Pharmacies Inc (Andover Drug)
• Jena J Prichard
• Jill M Prilliman, OD
• Ashley Ralston, OD
• Michael L Ray

• Family Medicine Physician in Andover, KS
• Providers in Andover, 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 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.

Verify at the official NPI Registry.