Organization Active NPI

Kansas Pathology Consultants, PA

  • Anatomic Pathology Physician
  • Wichita, KS
National Provider Identifier
1417012121
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
17D0451607 Issued in KS
Legal business name
KANSAS PATHOLOGY CONSULTANTS, PA
Practice address
8201 E 34TH Cir N Ste 1301
Wichita, KS 67226-1490
Phone
(316) 681-2741
Fax
(316) 681-0151
NPI assigned
Dec 22, 2006
Last updated
Dec 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Authorized official

Name
Dr. Ward NewcombNPI 1144233156
Title
President
Phone
(316) 681-2741

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 17D0451607 KS Primary

Addresses

Primary practice location

8201 E 34TH Cir N Ste 1301
Wichita, KS 67226-1490

Mailing address

8201 E 34TH Cir N Ste 1301
Wichita, KS 67226-1490
Phone (316) 681-2741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040930000553 KS Part B Supplier - Clinic/Group Practice 2466421987 Receives reassigned benefits from 3 practitioners
Practice locations: Wichita, KS

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0451607Kansas Pathology Consultants, PA8201 E 34TH Street North, BLDG 1300, Suite 1301, Wichita, KS 67226AccreditationFeb 8, 2027

National Provider Directory

National Provider Directory

Locations

1300 E 13th St
Hays, KS 67601
Phone (785) 625-5646

7829 E Rockhill St
Bldg 400
Wichita, KS 67206
Phone (316) 681-2741

7829 E Rockhill St
Ste 400
Wichita, KS 67206
Phone (316) 681-2741

8201 E 34th Street Cir N
Ste 1301
Wichita, KS 67226
Phone (316) 681-2741

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1417012121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 E 34TH CIR N STE 1301",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261490",
            "telephone_number": "316-681-2741",
            "fax_number": "316-681-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 E 34TH CIR N STE 1301",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261490",
            "telephone_number": "316-681-2741",
            "fax_number": "316-681-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS PATHOLOGY CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "NEWCOMB",
        "authorized_official_first_name": "WARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-681-2741",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "KS",
            "license": "17D0451607",
            "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 Dec 6, 2024; 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.