Organization Active NPI

Oberlin Medical Arts PA

  • Medical Specialty Clinic/Center
  • Oberlin, KS
National Provider Identifier
1508865478
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
OBERLIN MEDICAL ARTS PA
Practice address
902 W Columbia St
Oberlin, KS 67749-2412
Phone
(785) 475-2221
Fax
(785) 475-3847
NPI assigned
Jul 21, 2005
Last updated
May 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Authorized official

Name
Mrs. Barbara D Whitney, R.N.
Title
Administrator
Phone
(785) 475-2221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

902 W Columbia St
Oberlin, KS 67749-2412

Mailing address

902 W Columbia St
P.O. Box 110
Oberlin, KS 67749-2412
Phone (785) 475-2221

Other identifiers 1

IdentifierTypeStateIssuer
100214610AMedicaidKS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1508865478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W COLUMBIA ST",
            "address_2": "P.O. BOX 110",
            "city": "OBERLIN",
            "state": "KS",
            "postal_code": "677492412",
            "telephone_number": "785-475-2221",
            "fax_number": "785-475-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W COLUMBIA ST",
            "city": "OBERLIN",
            "state": "KS",
            "postal_code": "677492412",
            "telephone_number": "785-475-2221",
            "fax_number": "785-475-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBERLIN MEDICAL ARTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "WHITNEY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "785-475-2221",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100214610A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oberlin, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.