Active NPI
Central Kansas Medical Center
- Surgery Physician
- Great Bend, KS
National Provider Identifier
1427282425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- CENTRAL KANSAS MEDICAL CENTER
- Practice address
- 3520 Lakin Ave
Ste 102
Great Bend, KS 67530-3660 - Phone
- (620) 792-1227
- Fax
- (620) 792-8029
- NPI assigned
- May 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon L. Lind
- Title
- Ceo
- Phone
- (620) 786-6101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
3520 Lakin Ave
Ste 102
Great Bend, KS 67530-3660
Mailing address
PO Box 400
Great Bend, KS 67530-0400
Phone (620) 786-6475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100069640I | Medicaid | KS |
Other names 1
- Thomas W. Wilder, M.D.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245196800000",
"number": "1427282425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 400",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "675300400",
"telephone_number": "620-786-6475",
"fax_number": "620-786-6155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 LAKIN AVE",
"address_2": "STE 102",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "675303660",
"telephone_number": "620-792-1227",
"fax_number": "620-792-8029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL KANSAS MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-06",
"last_updated": "2009-06-17",
"status": "A",
"authorized_official_last_name": "LIND",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "620-786-6101"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100069640I",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Thomas W. Wilder, M.D.",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Great Bend, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.