Active NPI
Jay M Hedger, LAT, ATC
- Athletic Trainer
- Wichita, KS
National Provider Identifier
1346215951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 24-0041
- Practice address
- 1923 N Webb Rd
Wichita, KS 67206-3405 - Phone
- (316) 262-4886
- Fax
- (316) 262-4887
- NPI assigned
- Feb 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 24-0041 | KS | Primary |
Addresses
Primary practice location
1923 N Webb Rd
Wichita, KS 67206-3405
Mailing address
732 S Westview Cir
Andover, KS 67002-9336
Phone (316) 733-7352
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24-0041 | KS | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402963200000",
"number": "1346215951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 S WESTVIEW CIR",
"city": "ANDOVER",
"state": "KS",
"postal_code": "670029336",
"telephone_number": "316-733-7352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1923 N WEBB RD",
"city": "WICHITA",
"state": "KS",
"postal_code": "672063405",
"telephone_number": "316-262-4886",
"fax_number": "316-262-4887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDGER",
"first_name": "JAY",
"middle_name": "M",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-18",
"last_updated": "2014-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "KS",
"license": "24-0041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.