NPIMap

Organization Active NPI

Wichita Ear Clinic, PA

  • Otology & Neurotology Physician
  • Wichita, KS
National Provider Identifier
1518932011
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
Legal business name
WICHITA EAR CLINIC, PA
Practice address
9350 E Central Ave
Wichita, KS 67206-2555
Phone
(316) 686-6608
Fax
(316) 686-3624
NPI assigned
Feb 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Authorized official

Name
Mrs. Cari D Barlett
Title
Billing
Phone
(316) 686-6608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0901X Primary

Addresses

Primary practice location

9350 E Central Ave
Wichita, KS 67206-2555

Mailing address

9350 E Central Ave
Wichita, KS 67206-4999
Phone (316) 686-6608

Other identifiers 3

IdentifierTypeStateIssuer
110245OtherKSBLUE CROSS/BLUE SHIELD KS
3257OtherKSPREFERRED HEALTH SYSTEMS
CD7286OtherKSRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041207001096 KS Part B Supplier - Clinic/Group Practice 5092771485 Receives reassigned benefits from 10 practitioners
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

9350 E Central Ave
Wichita, KS 67206
Phone (316) 686-6608

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1518932011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672064999",
            "telephone_number": "316-686-6608",
            "fax_number": "316-686-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062555",
            "telephone_number": "316-686-6608",
            "fax_number": "316-686-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA EAR CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-20",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "BARLETT",
        "authorized_official_first_name": "CARI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "316-686-6608",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD KS",
            "identifier": "110245",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH SYSTEMS",
            "identifier": "3257",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD7286",
            "state": "KS"
        }
    ],
    "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 Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.