Active NPI
First Med PA
- Family Medicine Physician
- Lawrence, KS
National Provider Identifier
1356300180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0421523
- Legal business name
- FIRST MED PA
- Practice address
- 2323 Ridge CT
Lawrence, KS 66046-3956 - Phone
- (785) 865-5300
- Fax
- (785) 865-1399
- NPI assigned
- Mar 21, 2006
- 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
- Ronald J Burt, MD
- Title
- Medical Staff Director
- Phone
- (785) 865-5300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0421523 | KS | Primary |
Addresses
Primary practice location
2323 Ridge CT
Lawrence, KS 66046-3956
Mailing address
2323 Ridge CT
Lawrence, KS 66046-3956
Phone (785) 865-5300
National Provider Directory
National Provider DirectoryLocations
2323 Ridge Ct
Lawrence, KS 66046
Phone (785) 865-5300
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Lawrence, KS
- NPI 1548461049
-
- Clinical Social Worker
- Lawrence, KS
- NPI 1861463853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1356300180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 RIDGE CT",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660463956",
"telephone_number": "785-865-5300",
"fax_number": "785-865-1399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 RIDGE CT",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660463956",
"telephone_number": "785-865-5300",
"fax_number": "785-865-1399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST MED PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BURT",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MEDICAL STAFF DIRECTOR",
"authorized_official_telephone_number": "785-865-5300",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "KS",
"license": "0421523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.