Midwest Physiatrists, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

04-24294 Issued in KS

Legal business name

MIDWEST PHYSIATRISTS, PA

Practice address

9415 E Harry St Ste 602
Wichita, KS 67207-5082

Phone

(316) 681-2420

Fax

(316) 681-3561

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Miss Deanna Honafius

Title

Office Manager

Phone

(316) 681-2420

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Mary J Dagenais, PA

  • Physician Assistant
  • Wichita, KS
  • NPI 1689666364
  Medicare reassignment Care Compare group
• Pedro Alberto Murati, MD

  • Specialist
  • Wichita, KS
  • NPI 1891760187
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1508937228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 E HARRY ST STE 602",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075082",
            "telephone_number": "316-681-2420",
            "fax_number": "316-681-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 E HARRY ST STE 602",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075082",
            "telephone_number": "316-681-2420",
            "fax_number": "316-681-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PHYSIATRISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "HONAFIUS",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "316-681-2420",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KS",
            "license": "04-24294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Hearing AIDS Inc
• Midwest Hearing AIDS Inc
• Midwest Home Health Care LLC
• Midwest Homestead of Wichita Operations, LLC
• Midwest Orthopedic Resourses, LLC
• Midwest Psychiatric Services, LLC
• Midwest Respiratory Care Inc.
• Midwest Rockets HH, LLC
• Midwest Surgery Center, L.C.
• Midwestern Podiatry Services LLC

• Specialist in Wichita, KS
• Providers in Wichita, KS by specialty
• Specialist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.