Organization Active NPI

Unity Medical Clinic, LLC

Doing business as TeleClinicUSA

  • Internal Medicine Physician
  • Lawrence, KS
National Provider Identifier
1346739851
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0537715 Issued in KS
Legal business name
UNITY MEDICAL CLINIC, LLC
Doing business as
TeleClinicUSA
Practice address
2201 W 25TH St Ste U
Lawrence, KS 66047-2957
Phone
(785) 371-1307
NPI assigned
May 9, 2018
Last updated
May 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Authorized official

Name
Dr. Fatima Khan, DONPI 1881914034
Title
Ceo
Phone
(816) 888-9382

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0537715 KS Primary

Addresses

Primary practice location

2201 W 25TH St Ste U
Lawrence, KS 66047-2957

Mailing address

1305 N 1100 Rd
Lawrence, KS 66046-9613
Phone (816) 888-9382

Other names 1

  • TeleClinicUSA Doing business as

National Provider Directory

National Provider Directory

Locations

2201 W 25th St
Ste U
Lawrence, KS 66047
Phone (785) 371-1307

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1346739851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 N 1100 RD",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660469613",
            "telephone_number": "816-888-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W 25TH ST STE U",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472957",
            "telephone_number": "785-371-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FATIMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "816-888-9382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "0537715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TeleClinicUSA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.