Organization Active NPI

Preferred Medical Associates

Doing business as VCMA West Maple

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1578744611
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PREFERRED MEDICAL ASSOCIATES
Doing business as
VCMA West Maple
Practice address
13610 W Maple St
Wichita, KS 67235-8776
Phone
(316) 773-4500
Fax
(316) 773-4555
NPI assigned
Nov 16, 2007
Last updated
Jul 14, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
PREFERRED MEDICAL ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Authorized official

Name
Dr. Edward J Hett, MD
Title
President
Phone
(316) 268-8080

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

13610 W Maple St
Wichita, KS 67235-8776

Mailing address

PO Box 764
Wichita, KS 67201-0764
Phone (316) 773-4500

Other identifiers 2

IdentifierTypeStateIssuer
100003230TMedicaidKS
100088910IMedicaidKS

Other names 1

  • VCMA West Maple Doing business as

National Provider Directory

National Provider Directory
Part of
Pref Med Ass Dba Pma Ge

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1578744611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 764",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672010764",
            "telephone_number": "316-773-4500",
            "fax_number": "316-773-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13610 W MAPLE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672358776",
            "telephone_number": "316-773-4500",
            "fax_number": "316-773-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED MEDICAL ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREFERRED MEDICAL ASSOCIATES",
        "enumeration_date": "2007-11-16",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "HETT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-268-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003230T",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100088910I",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VCMA West Maple",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 14, 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.