Organization Active NPI

First Med PA

  • Family Medicine Physician
  • Lawrence, KS
National Provider Identifier
1356300180
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0421523 Issued in KS
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.