Wichita Internal Medicine Associates,LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WICHITA INTERNAL MEDICINE ASSOCIATES,LLC

Practice address

4815 E Central Ave
Wichita, KS 67208-4014

Phone

(316) 686-4750

Fax

(316) 686-4813

NPI assigned

Oct 5, 2006

Last updated

Aug 22, 2020By 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

Elizabeth Jeanne Kroeker, M.D.

Title

Owner

Phone

(316) 686-4750

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306932280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084014",
            "telephone_number": "316-686-4750",
            "fax_number": "316-686-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084014",
            "telephone_number": "316-686-4750",
            "fax_number": "316-686-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA INTERNAL MEDICINE ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KROEKER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-686-4750",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Internal Medicine Physician in Kansas

• 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.

Verify at the official NPI Registry.