Active NPI
Lisa Unruh, MD
- Pediatrics Physician
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 04-33838
- Practice address
- 550 N Hillside St
Building 1, 6TH Floor
Wichita, KS 67214-4910 - Phone
- (316) 962-7422
- Fax
- (316) 962-7805
- NPI assigned
- Jan 25, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 04-33838 | KS | Primary |
Addresses
Primary practice location
550 N Hillside St
Building 1, 6TH Floor
Wichita, KS 67214-4910
Mailing address
114 N Lehmberg Rd
Columbus, MS 39702-5554
Phone (662) 329-2955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
29980 Network PL
Chicago, IL 60673-1299
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-33838 | KS | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Children'S Health Center of Columbus, Inc. | Past | Accepting new patients | |
| Children'S Health Center of Columbus, Inc. | Pediatrics | Past | Accepting new patients |
| Goodland Regional Medical Center | Past | Accepting new patients | |
| Integris Health Ponca City Hospital Inc | Past | Accepting new patients | |
| Mena Hospital Commission | Pediatrics | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271
1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201
1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192
900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500
19600 E Ross St
Tahlequah, OK 74464
Phone (539) 234-1000
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
Dept 2269
Tulsa, OK 74182
27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800
400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074
900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
824 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
209 Prentice St N
Stevens Point, WI 54481
Phone (715) 344-4611
401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700
190 Grand Seasons Dr
Waupaca, WI 54981
Phone (715) 258-3401
Interoperability endpoints
- https://api.platform.athenahealth.com/18494/brand/1/csg/1/fhir/r4
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
-
- Critical Access Hospital
- Tomahawk, WI
- NPI 1598715401
-
- General Practice Physician
- Stevens Point, WI
- NPI 1184082745
-
- Clinic/Center
- Stevens Point, WI
- NPI 1679706022
-
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- Multi-Specialty Clinic/Center
- Salina, OK
- NPI 1326054081
-
- Multi-Specialty Clinic/Center
- Vinita, OK
- NPI 1558377226
-
- Multi-Specialty Clinic/Center
- Muskogee, OK
- NPI 1841207156
-
- Critical Access Hospital Clinic/Center
- Goodland, KS
- NPI 1447392451
-
- Durable Medical Equipment & Medical Supplies
- Columbus, MS
- NPI 1558398941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524528000000",
"number": "1497932032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 N LEHMBERG RD",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397025554",
"telephone_number": "662-329-2955",
"fax_number": "662-370-1236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 N HILLSIDE ST",
"address_2": "BUILDING 1, 6TH FLOOR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672144910",
"telephone_number": "316-962-7422",
"fax_number": "316-962-7805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNRUH",
"first_name": "LISA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-25",
"last_updated": "2018-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KS",
"license": "04-33838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.