Holy Family Medical Associates LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04-27664 Issued in KS

Legal business name

HOLY FAMILY MEDICAL ASSOCIATES LLC

Practice address

144 S Hillside St
Wichita, KS 67211-2154

Phone

(316) 682-9900

Fax

(316) 682-0311

NPI assigned

Mar 11, 2011

Last updated

Dec 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenda L Thanel

Title

Administrator

Phone

(316) 682-9900

Specialties & licenses 5

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1356649552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112154",
            "telephone_number": "316-682-9900",
            "fax_number": "316-682-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112154",
            "telephone_number": "316-682-9900",
            "fax_number": "316-682-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY FAMILY MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "THANEL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "316-682-9900"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-27664",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01433",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "46183",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "46056",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KS",
            "license": "46255",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200716880A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey Holt
• Leah Holt, LCPC, LCAC
• Sara Holt, RN
• Joshua Holthusen, H.I.S.
• Amanda Lane Holtzinger, PA-C
• Holy Family Medical Inc
• Holy Family Medical, Inc. (Holy Family Fairmount)
• Ashley N Holzwarth, PTA
• Gretchen Jabara Homan, MD
• James Allen Homan, M.D.

• Family Medicine Physician in Wichita, KS
• Providers in Wichita, 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 Dec 1, 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.

Verify at the official NPI Registry.