NPIMap

Organization Active NPI

Preferred Medical Associates

Doing business as VCMA Maternal Fetal

  • Maternal & Fetal Medicine Physician
  • Wichita, KS
National Provider Identifier
1417241902
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
04-31473 Issued in KS
Legal business name
PREFERRED MEDICAL ASSOCIATES
Doing business as
VCMA Maternal Fetal
Practice address
1515 S Clifton Ave
Ste. 130
Wichita, KS 67218-2900
Phone
(316) 689-5990
Fax
(316) 689-5999
NPI assigned
Jun 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Authorized official

Name
Mr. Sam Williams
Title
Office Manager
Phone
(316) 269-1785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VM0101X 04-31473 KS Primary

Addresses

Primary practice location

1515 S Clifton Ave
Ste. 130
Wichita, KS 67218-2900

Mailing address

1515 S Clifton Ave
Ste. 130
Wichita, KS 67218-2900
Phone (316) 689-5990

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidKS

Other names 1

  • VCMA Maternal Fetal Doing business as

National Provider Directory

National Provider Directory
Tax ID family
PMC Inc Dba Snyder3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1417241902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S CLIFTON AVE",
            "address_2": "STE. 130",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182900",
            "telephone_number": "316-689-5990",
            "fax_number": "316-689-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S CLIFTON AVE",
            "address_2": "STE. 130",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182900",
            "telephone_number": "316-689-5990",
            "fax_number": "316-689-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "316-269-1785",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "KS",
            "license": "04-31473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VCMA Maternal Fetal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 2, 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.