Wichita Parkinson's Center, LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

0432414 Issued in KS

Legal business name

WICHITA PARKINSON'S CENTER, LLC

Practice address

8338 W 13TH St N
Suite 217
Wichita, KS 67212-2900

Phone

(316) 729-1135

Fax

(316) 729-1138

NPI assigned

Jul 18, 2007

Last updated

Jul 18, 2007By 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

Dr. Katherine Laura Widnell, M.D.NPI 1295777100

Title

Manager

Phone

(316) 712-4061

Specialties & licenses 1

Addresses

Locations

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.

• Katherine Laura Widnell, MD, PHD

  • Neurology Physician
  • Burbank, CA
  • NPI 1295777100
  NPD (past) Authorized official
• Erika Leigh Jacumin, PA

  • Medical Physician Assistant
  • Ormond Beach, FL
  • NPI 1548443518
  NPD (past)

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1255531380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 N ROCK RD",
            "address_2": "SUITE 118-274",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262331",
            "telephone_number": "316-712-4061",
            "fax_number": "316-854-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8338 W 13TH ST N",
            "address_2": "SUITE 217",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122900",
            "telephone_number": "316-729-1135",
            "fax_number": "316-729-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA PARKINSON'S CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "WIDNELL",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "LAURA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "316-712-4061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KS",
            "license": "0432414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wichita Oral Surgery LLC
• Wichita Orthopaedic ASC LLC (Surgery Center of Kansas)
• Wichita Pain Associates PA (Wichita Pain Associates Cosmetic)
• Wichita Pain Center, LLC
• Wichita Pain Management LLC
• Wichita Pediatric Associates
• Wichita Pediatric Dentistry
• Wichita Physical Therapy Group, LLC (Wichita Physical Therapy Group)
• Wichita Physical Therapy Group, LLC (Wichita Physical Therapy Group)
• Wichita Primary Care LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.