Irick Family Medicine, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04-22030 Issued in KS

Legal business name

IRICK FAMILY MEDICINE, PA

Practice address

15270 W 119TH St
Olathe, KS 66062-5604

Phone

(913) 829-8833

Fax

(913) 768-4827

NPI assigned

Jan 25, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Constance M Irick, MDNPI 1346235272

Title

Owner

Phone

(913) 829-8833

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CHIBBA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Constance M Irick, M.D.

  • Family Medicine Physician
  • Olathe, KS
  • NPI 1346235272
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1346427028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15270 W 119TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660625604",
            "telephone_number": "913-829-8833",
            "fax_number": "913-768-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15270 W 119TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660625604",
            "telephone_number": "913-829-8833",
            "fax_number": "913-768-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRICK FAMILY MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "IRICK",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-829-8833",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-22030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Olathe, KS
• Providers in Olathe, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.