Family Medcenters, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY MEDCENTERS, P.A.

Doing business as

Mulvane Family MedCenter

Practice address

1004 SE Louis Dr
Mulvane, KS 67110-1109

Phone

(316) 777-0176

Fax

(316) 777-1817

NPI assigned

Nov 5, 2007

Last updated

Nov 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David W. Niederee, M.D.

Title

President

Phone

(316) 788-6963

Specialties & licenses 1

Addresses

Other names 1

• Mulvane Family MedCenter Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Family Medcenters, P.a.

  • Family Medicine Physician
  • Derby, KS
  • NPI 1285688358

  4688568751

  Same PAC ID
• Family Medcenters, P.a.

  dba Derby Family MedCenter

  • Family Medicine Physician
  • Derby, KS
  • NPI 1982884987

  4688568751

  Same PAC ID

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

CLIA laboratory certificates

Tax ID family

Derby Ambulatory Surgery5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Family Medcenters, P.a.

  dba FMC Diagnostic Center

  • Radiology Clinic/Center
  • Derby, KS
  • NPI 1104022482
  NPD tax ID
• Family Medcenters, P.a.

  • Urgent Care Clinic/Center
  • Derby, KS
  • NPI 1790130458
  NPD tax ID
• Family Medcenters, P.a.

  dba Southeast Family MedCenter

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1881874030
  NPD tax ID
• Family Medcenters, P.a.

  dba Derby Family MedCenter

  • Family Medicine Physician
  • Derby, KS
  • NPI 1982884987
  NPD tax ID

Practitioners 1

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.

• Randell B Chapman, M.D.

  • Emergency Medicine Physician
  • Shawnee, OK
  • NPI 1922073055
  NPD (past)

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1376723528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 SE LOUIS DR",
            "city": "MULVANE",
            "state": "KS",
            "postal_code": "671101109",
            "telephone_number": "316-777-0176",
            "fax_number": "316-777-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 SE LOUIS DR",
            "city": "MULVANE",
            "state": "KS",
            "postal_code": "671101109",
            "telephone_number": "316-777-0176",
            "fax_number": "316-777-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDCENTERS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "NIEDEREE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-788-6963",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mulvane Family MedCenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Dillon, RN
• Denelle Lynn Dinkel, MA, CCC-SLP
• Susan Dutcher, PSYD, T-LP, LMFT
• Lauren Ediger, DPT
• Eric Fayziev DDS PA (Mulvane Family Dentistry)
• Eric Fayziev, DDS
• Nikol Flynn, DDS
• Alonna Danae Galvan
• Amy L Glover
• Cheryl Hall, LCMFT, LCAC

• Family Medicine Physician in Mulvane, KS
• Providers in Mulvane, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.