Jerome G Streit, MD

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

0417938 Issued in KS

Practice address

1152 S Clifton Ave
Wichita, KS 67218-2913

Phone

(316) 689-5121

Fax

(316) 689-5122

NPI assigned

Jun 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Via Christi Immediate Care, Mother Mary Anne Inc.

  • Clinic/Center
  • Wichita, KS
  • NPI 1477692051
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1528063583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 659",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672010659",
            "telephone_number": "316-268-8131",
            "fax_number": "316-291-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 S CLIFTON AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182913",
            "telephone_number": "316-689-5121",
            "fax_number": "316-689-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREIT",
        "first_name": "JEROME",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "KS",
            "license": "0417938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Streck
• Andrea L Strecker, CRNA
• Joanna Strecker, PHARMD
• Karen R Strecker, MD
• Marcia G Streiff, APRN, CNM, IBCLC
• Stretch Life, LLC
• Justin P Strickland, M.D.
• Maurice Henry Van Strickland, M.D.
• Mikayla Marie Strief
• Margaret Stringer, DPT

• Geriatric Medicine (Family Medicine) Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Geriatric Medicine (Family Medicine) Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.