Active NPI
Central Family Medicine
- Pulmonary Disease Physician
- Kansas City, KS
National Provider Identifier
1275554099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 04-13172
- Legal business name
- CENTRAL FAMILY MEDICINE
- Practice address
- 720 Central Ave
Kansas City, KS 66101-3546 - Phone
- (913) 321-3343
- Fax
- (913) 321-3348
- NPI assigned
- Jul 21, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Pederson
- Title
- Manager
- Phone
- (913) 321-3343
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 04-13172 | KS | Primary |
Addresses
Primary practice location
720 Central Ave
Kansas City, KS 66101-3546
Mailing address
720 Central Ave
Kansas City, KS 66101-3546
Phone (913) 321-3343
National Provider Directory
National Provider Directory- Tax ID family
- Central Family Medicine
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Central Family Medicine
- Internal Medicine Physician
- Kansas City, KS
- NPI 1285831305
Practitioners & affiliated clinicians
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.
-
- Obstetrics & Gynecology Physician
- Kansas City, KS
- NPI 1417018557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1275554099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 CENTRAL AVE",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661013546",
"telephone_number": "913-321-3343",
"fax_number": "913-321-3348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 CENTRAL AVE",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661013546",
"telephone_number": "913-321-3343",
"fax_number": "913-321-3348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL FAMILY MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PEDERSON",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "913-321-3343"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "KS",
"license": "04-13172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, KS
- Centerwell Pharmacy, Inc.
- Centerwell Senior Primary Care KS PA (CenterWell Senior Primary Care- State Avenue)
- Central Ave Dental LLC (Central Ave Dental)
- Central Care PA (Central Care Cancer Center)
- Central Care, PA (Central Care Cancer Center)
- Gena Michelle Cervantes, RN
- Scott R. Ceule, MD
- Elizabeth Cha
- Amy Chadwell, M.A., CCC-SLP
- Andrea Chadwick, M.D.
Sources for this page
- 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.