Family Physicians PA

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

FAMILY PHYSICIANS PA

Practice address

304 N Cedar
Moran, KS 66755

Phone

(620) 237-4621

Fax

(620) 237-4402

NPI assigned

Jul 10, 2006

Last updated

Aug 14, 2012By 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

Brian D Wolfe, MD

Title

Sec Treas

Phone

(620) 237-4621

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Family Physicians, P.a. Other name

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1407880776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "MORAN",
            "state": "KS",
            "postal_code": "667550158",
            "telephone_number": "620-237-4621",
            "fax_number": "620-237-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N CEDAR",
            "city": "MORAN",
            "state": "KS",
            "postal_code": "66755",
            "telephone_number": "620-237-4621",
            "fax_number": "620-237-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSICIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SEC TREAS",
        "authorized_official_telephone_number": "620-237-4621",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS RHC",
            "identifier": "1551",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHC-RIVERBEND",
            "identifier": "178970",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Family Physicians, P.a.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kyla Drake
• Marmaton Valley Usd #256
• Moran Nursing, LLC
• Saint Luke's Hospital of Allen County, Inc

• Rural Health Clinic/Center in Moran, KS
• Providers in Moran, KS by specialty
• Rural Health Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.