Organization Active NPI

Lyle Zepick, M.D. P.a.

  • Cardiovascular Disease Physician
  • Wichita, KS
National Provider Identifier
1457417370
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
04-19176 Issued in KS
Legal business name
LYLE ZEPICK, M.D. P.A.
Practice address
630 S Hillside St
Wichita, KS 67211-2157
Phone
(316) 491-5926
Fax
(316) 491-5962
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Authorized official

Name
Lyle Zepick, M.D.
Title
Owner
Phone
(316) 616-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 04-19176 KS Primary

Addresses

Primary practice location

630 S Hillside St
Wichita, KS 67211-2157

Mailing address

PO Box 47624
Wichita, KS 67201-7624
Phone (316) 491-5926

Other identifiers 3

IdentifierTypeStateIssuer
CG1000OtherKSRAILROAD MEDICARE
111286OtherKSBLUE CROSS BLUE SHIELD
200508600AMedicaidKS

Other names 1

  • Zepick Cardiology Other name

National Provider Directory

National Provider Directory

Locations

9350 E 35th St N
Ste B105
Wichita, KS 67226

1908 N 14th St
Ponca City, OK 74601
Phone (580) 765-0518

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1457417370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47624",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672017624",
            "telephone_number": "316-491-5926",
            "fax_number": "316-491-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112157",
            "telephone_number": "316-491-5926",
            "fax_number": "316-491-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYLE ZEPICK, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "ZEPICK",
        "authorized_official_first_name": "LYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-616-2020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "04-19176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG1000",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "111286",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200508600A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zepick Cardiology",
            "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 Aug 27, 2010; 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.