Organization Active NPI

Koer Medical

  • Durable Medical Equipment & Medical Supplies
  • Wichita, KS
National Provider Identifier
1447458559
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KOER MEDICAL
Practice address
2210 E Douglas Ave
Wichita, KS 67214-4407
Phone
(913) 422-7878
NPI assigned
Jul 10, 2007
Last updated
Jul 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Krista M Wheeler
Title
RN/Office MGR
Phone
(913) 422-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2210 E Douglas Ave
Wichita, KS 67214-4407

Mailing address

6265 Arapahoe St
Shawnee, KS 66226-3239
Phone (913) 422-7878

Other identifiers 1

IdentifierTypeStateIssuer
048403OtherKSBCBS KS

Other names 1

  • Richard Estivo Other name

National Provider Directory

National Provider Directory
Tax ID family
Koer Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2210 E Douglas Ave
Wichita, KS 67214
Phone (913) 422-7878

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1447458559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6265 ARAPAHOE ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662263239",
            "telephone_number": "913-422-7878",
            "fax_number": "913-422-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 E DOUGLAS AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144407",
            "telephone_number": "913-422-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOER MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "RN/OFFICE MGR",
        "authorized_official_telephone_number": "913-422-7878"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KS",
            "identifier": "048403",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard Estivo",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 10, 2007; 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.