Pearl Girl Clinics LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

PEARL GIRL CLINICS LLC

Practice address

1821 E Madison Ave Ste 1100
Derby, KS 67037-2300

Phone

(316) 669-8082

Fax

(316) 669-9688

NPI assigned

Jun 20, 2023

Organization subpart

No

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

Authorized official

Name

Damen Hershberger, MDNPI 1023308939

Title

Owner

Phone

(316) 687-3275

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Damen Wayne Hershberger, M.D.

  • Obstetrics & Gynecology Physician
  • Wichita, KS
  • NPI 1023308939
  Medicare reassignment NPD Authorized official
• Anna F Stork-Fury, D.O.

  • Obstetrics Physician
  • Wichita, KS
  • NPI 1457309429
  Medicare reassignment NPD
• Keley M Sulawske, PA-C

  • Physician Assistant
  • Wichita, KS
  • NPI 1346808094
  Medicare reassignment NPD
• Mindy S Kile, PA

  • Medical Physician Assistant
  • Arkansas City, KS
  • NPI 1346573078
  Medicare reassignment
• Amanda Twist, PA

  • Medical Physician Assistant
  • Wichita, KS
  • NPI 1720032568
  Medicare reassignment
• Holly Dawn Graves, APRN

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1083085898
  NPD
• Charis Noteboom, MD

  • Obstetrics & Gynecology Physician
  • Wichita, KS
  • NPI 1831628635
  NPD

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1376228049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 E MADISON AVE STE 1100",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372300",
            "telephone_number": "316-669-8082",
            "fax_number": "316-669-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 E MADISON AVE STE 1100",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372300",
            "telephone_number": "316-669-8082",
            "fax_number": "316-669-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL GIRL CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "HERSHBERGER",
        "authorized_official_first_name": "DAMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-687-3275",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constantine Paul Panakos, DO
• Brandi Pappan
• Andrea Parker, RPH
• Glen Ray Patton, DO
• Malissa Kay Paxton, RPAC
• Taylor Peck, CF-SLP
• Janet Pham, PHARMD
• Loan Kim Phan, APRN
• Pharmacon Drug (Derby Drug)
• Pharmacon Drug (Damm Pharmacy)

• Obstetrics & Gynecology Physician in Derby, KS
• Providers in Derby, KS by specialty
• Obstetrics & Gynecology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.