NPIMap

Organization Active NPI

Niobrara Family Medicine, LLC

  • Family Medicine Physician
  • Plainville, KS
National Provider Identifier
1295384600
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NIOBRARA FAMILY MEDICINE, LLC
Practice address
1210 N Washington
Plainville, KS 67663
Phone
(785) 434-2622
Fax
(785) 434-2577
NPI assigned
Sep 9, 2019
Last updated
Oct 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Authorized official

Name
Dr. Jennifer Maciaszek, M.D.NPI 1992153910
Title
Owner/Provider
Phone
(785) 434-2622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1210 N Washington
Plainville, KS 67663

Mailing address

1210 N Washington
Plainville, KS 67663-1632
Phone (785) 434-2622

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1295384600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 N WASHINGTON",
            "city": "PLAINVILLE",
            "state": "KS",
            "postal_code": "676631632",
            "telephone_number": "785-434-2622",
            "fax_number": "785-434-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 N WASHINGTON",
            "city": "PLAINVILLE",
            "state": "KS",
            "postal_code": "67663",
            "telephone_number": "785-434-2622",
            "fax_number": "785-434-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIOBRARA FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "MACIASZEK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "785-434-2622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainville, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.