Family Practice Associates of Ulysses LLC
Organization Active NPI Family Medicine Physician · Ulysses, KS
NPI 1316916638 · NPPES record last updated Sep 3, 2010
Key facts
- NPI
- 1316916638
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 05-27920 (KS)
- 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
- Organization subpart
- No
Authorized official
- Name
- Mr. Doug E Johnson, DO
- Title
- Owner
- Phone
- (620) 356-5870
Practitioners 2
-
Michael Wayne Deeds, PAC
-
Gladys A Radke, PAC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 05-27920 | KS | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100454690A | Medicaid | KS |
Other providers in Ulysses, KS
- Critical Care Transfer, Inc
- Felix Levi Degollado III
- Seth W Drees
- Dynatest Inc
- Family Dentistry
- First Avenue Dental, P.a.
- Jacey Fischbach
- Janetta K Freeman
- Good Choice Chiropractic,Inc
- Grant County Medical Equipment,LLC
All providers in Ulysses, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.