Active NPI
Wound Integrity Kansas PA
- Internal Medicine Physician
- Overland Park, KS
National Provider Identifier
1356974679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- WOUND INTEGRITY KANSAS PA
- Practice address
- 8500 College Blvd
Overland Park, KS 66210-1837 - Phone
- (913) 303-7646
- Fax
- (913) 273-3093
- NPI assigned
- Feb 14, 2020
- 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
- Han Hulen, MD
- Title
- Owner
- Phone
- (214) 945-7313
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
8500 College Blvd
Overland Park, KS 66210-1837
Mailing address
1 Chisholm Trail Rd Ste 5200
Round Rock, TX 78681-5090
Phone (512) 202-3830
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201283110A | Medicaid | KS | |
| KA5006 | Other | KS | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11005 Metcalf Ave
Overland Park, KS 66210
Phone (513) 252-7792
1 Chisholm Trail Rd
Ste 5200
Round Rock, TX 78681
Phone (346) 239-9469
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Olathe, KS
- NPI 1720795164
-
- Surgery Physician
- McHenry, IL
- NPI 1942231667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701388800000",
"number": "1356974679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CHISHOLM TRAIL RD STE 5200",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786815090",
"telephone_number": "512-202-3830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8500 COLLEGE BLVD",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662101837",
"telephone_number": "913-303-7646",
"fax_number": "913-273-3093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOUND INTEGRITY KANSAS PA",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-14",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A",
"authorized_official_last_name": "HULEN",
"authorized_official_first_name": "HAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "214-945-7313",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201283110A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "KA5006",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.