Active NPI
Family Practice Associates of Ulysses LLC
- Family Medicine Physician
- Ulysses, KS
National Provider Identifier
1316916638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 05-27920
- Legal business name
- FAMILY PRACTICE ASSOCIATES OF ULYSSES LLC
- Practice address
- 202 W Kansas Ave
Ulysses, KS 67880-2034 - Phone
- (620) 356-5870
- Fax
- (620) 356-5867
- NPI assigned
- Mar 17, 2006
- Last updated
- Sep 3, 2010
- 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
- Mr. Doug E Johnson, DO
- Title
- Owner
- Phone
- (620) 356-5870
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 05-27920 | KS | Primary |
Addresses
Primary practice location
202 W Kansas Ave
Ulysses, KS 67880-2034
Mailing address
202 W Kansas Ave
Ulysses, KS 67880-2034
Phone (620) 356-5870
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Physician Assistant
- Canton, TX
- NPI 1396745758
-
- Physician Assistant
- Rochester, MN
- NPI 1962403873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283472000000",
"number": "1316916638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 W KANSAS AVE",
"city": "ULYSSES",
"state": "KS",
"postal_code": "678802034",
"telephone_number": "620-356-5870",
"fax_number": "620-356-5867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 W KANSAS AVE",
"city": "ULYSSES",
"state": "KS",
"postal_code": "678802034",
"telephone_number": "620-356-5870",
"fax_number": "620-356-5867"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PRACTICE ASSOCIATES OF ULYSSES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-17",
"last_updated": "2010-09-03",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "DOUG",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "620-356-5870",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "KS",
"license": "05-27920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ulysses, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.