Mid-Kansas Heart Center, P.a.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

05-25651 Issued in KS

Legal business name

MID-KANSAS HEART CENTER, P.A.

Practice address

1515 S Clifton Ave Ste 320
Wichita, KS 67218-2953

Phone

(316) 263-5889

Fax

(316) 267-3601

NPI assigned

Feb 4, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Alvarez, D.O.

Title

Officer

Phone

(316) 263-5889

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christiane J Yourdon, PA

  • Medical Physician Assistant
  • Wichita, KS
  • NPI 1700019494
  NPD (past)

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1366680969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2178",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672012178",
            "telephone_number": "316-263-5889",
            "fax_number": "316-267-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S CLIFTON AVE STE 320",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182953",
            "telephone_number": "316-263-5889",
            "fax_number": "316-267-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-KANSAS HEART CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "316-263-5889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "05-25651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100236410E",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "KA2075",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Wichita, KS
• Cardiovascular Disease Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.