Organization Active NPI

Western Kansas Medical PC

  • Otolaryngology Physician
  • Hays, KS
National Provider Identifier
1487725859
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
WESTERN KANSAS MEDICAL PC
Practice address
2517 Canterbury
Hays, KS 67601
Phone
(785) 628-3131
Fax
(785) 628-3650
NPI assigned
Nov 10, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. James A Black, DONPI 1316905987
Title
Owner
Phone
(785) 628-3131

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

Practitioners 1

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

National Provider Directory

National Provider Directory

Locations

2517 Canterbury Dr
Hays, KS 67601
Phone (785) 628-1551

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X KS Primary

Addresses

NPPES NPI Registry

Primary practice location

2517 Canterbury
Hays, KS 67601

Mailing address

2517 Canterbury
Hays, KS 67601
Phone (785) 628-3131

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
110270OtherKSBC & BS OF KANSAS

Other names 1

NPPES NPI Registry
  • Ear Nose & Throat Clinic of Western Kansas Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 2, 2015.

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1487725859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 CANTERBURY",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "67601",
            "telephone_number": "785-628-3131",
            "fax_number": "785-628-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 CANTERBURY",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "67601",
            "telephone_number": "785-628-3131",
            "fax_number": "785-628-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN KANSAS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-628-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC & BS OF KANSAS",
            "identifier": "110270",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ear Nose & Throat Clinic of Western Kansas",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hays, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.