Organization Active NPI

Preferred Medical Associates

  • Endocrinology, Diabetes & Metabolism Physician
  • Wichita, KS
National Provider Identifier
1306071303
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
04-33591 Issued in KS
Legal business name
PREFERRED MEDICAL ASSOCIATES
Practice address
848 N Saint Francis St
Ste. 2968
Wichita, KS 67214-3800
Phone
(316) 269-1717
Fax
(316) 291-7317
NPI assigned
May 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 04-33591 KS Primary

Addresses

Primary practice location

848 N Saint Francis St
Ste. 2968
Wichita, KS 67214-3800

Mailing address

848 N Saint Francis St
Ste. 2968
Wichita, KS 67214-3800
Phone (316) 269-1717

Other identifiers 2

IdentifierTypeStateIssuer
100723300BMedicaidOK
PENDINGMedicaidKS

Other names 1

  • VCMA Endo Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1306071303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 N SAINT FRANCIS ST",
            "address_2": "STE. 2968",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143800",
            "telephone_number": "316-269-1717",
            "fax_number": "316-291-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 N SAINT FRANCIS ST",
            "address_2": "STE. 2968",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143800",
            "telephone_number": "316-269-1717",
            "fax_number": "316-291-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "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": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "KS",
            "license": "04-33591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100723300B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VCMA Endo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • 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.