Advanced Orthopaedic Associates, P.a.
Organization Active NPI Orthopaedic Surgery Physician · Wichita, KS
NPI 1366419574 · NPPES record last updated Mar 17, 2026
Key facts
- NPI
- 1366419574
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- ADVANCED ORTHOPAEDIC ASSOCIATES, P.A.
- Practice address
- 9828 E Shannon Woods Cir # 100
Wichita, KS 67226-4100 - Phone
- (316) 631-1600
- Fax
- (316) 631-1617
- NPI assigned
- Mar 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Amanda Ermey
- Title
- Executice Director
- Phone
- (316) 631-1628
Practitioners 56
-
Scott C Adrian, MD
-
John Andrew Childs, D.O.
-
Kara Dawn Cox, MD
-
Katie Marie Cramer, PA-C
-
Paul Alan Enns, MD
-
John W Fanning, MD
-
David T Gwyn, MD
-
Phillip F. Hagan, MD
-
Zachary C Hanson, MD
-
Rachel Henry, PA-C
-
Hayley Jansson, MD
-
Randall Lais, MD
-
Colin B Lisenby, MD
-
Abby Marie Mercado, A.P.R.N.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040210000172 | KS | Part B Supplier - Clinic/Group Practice | 1850285057 |
Receives reassigned benefits from 52 practitioners Practice locations: Dodge City, KS; Wellington, KS; Wichita, KS |
| O20100930086143 | KS | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 1850285057 | Practice locations: Wichita, KS |
National Provider Directory
Locations
14700 W Saint Teresa St
Ste 120
Wichita, KS 67235
Phone (316) 631-1600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
9828 E Shannon Woods Cir # 100
Wichita, KS 67226-4100
Mailing address
9828 E Shannon Woods Cir # 100
Wichita, KS 67226-4100
Phone (316) 631-1600
Other practice location 1
2200 Summerlon Cir Ste B
Dodge City, KS 67801-2905
Phone (620) 371-5252
Other practice location 2
14700 W Saint Teresa St Ste 120
Wichita, KS 67235-9608
Phone (316) 631-1600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100411860A | Medicaid | KS | |
| 100411860B | Other | KS | MEDICAID DME |
| 110705 | Other | KS | BCBS |
Other providers in Wichita, KS
- Advanced Home Plus LLC
- Advanced Medical Associates, P.a.
- Advanced Medical DME, LLC
- Advanced Mens Health, LLC
- Advanced Mobile Healthcare, LLC
- Advanced Orthopaedic Associates, PA
- Advanced Pain Medicine Associates, LLC
- Advanced Physical Therapy PA
- Advanced Podiatry, P.a.
- Advanced Practice Family Care LLC
All providers in Wichita, KS · Orthopaedic Surgery Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.