Organization Active NPI

J R Henwood M.D.PA

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1366548281
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-20156 Issued in KS
Legal business name
J R HENWOOD M.D.PA
Practice address
1515 S Clifton Ave
Suite 300
Wichita, KS 67218-2900
Phone
(316) 686-6888
Fax
(316) 686-9358
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Authorized official

Name
Dr. J R Henwood, M.D.
Title
Owner-President
Phone
(316) 686-6888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 04-20156 KS Primary

Addresses

Primary practice location

1515 S Clifton Ave
Suite 300
Wichita, KS 67218-2900

Mailing address

1515 S Clifton Ave
Suite 300
Wichita, KS 67218-2900
Phone (316) 686-6888

National Provider Directory

National Provider Directory

Locations

1515 S Clifton Ave
Ste 490
Wichita, KS 67218
Phone (316) 686-6888

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": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1366548281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S CLIFTON AVE",
            "address_2": "SUITE 300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182900",
            "telephone_number": "316-686-6888",
            "fax_number": "316-686-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S CLIFTON AVE",
            "address_2": "SUITE 300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182900",
            "telephone_number": "316-686-6888",
            "fax_number": "316-686-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J R HENWOOD M.D.PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "HENWOOD",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "316-686-6888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-20156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.