Organization Active NPI

Sunflower Pediatrics

  • Pediatrics Physician
  • Liberal, KS
National Provider Identifier
1598091001
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
04-28884 Issued in KS
Legal business name
SUNFLOWER PEDIATRICS
Practice address
2132 N. Kansas Ave
Ste B
Liberal, KS 67901
Phone
(620) 624-7400
Fax
(620) 624-7444
NPI assigned
Oct 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Authorized official

Name
Mariana E Lucero, MDNPI 1831168673
Title
Member Manager
Phone
(620) 624-7400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 04-28884 KS Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 0413614 KS

Addresses

Primary practice location

2132 N. Kansas Ave
Ste B
Liberal, KS 67901

Mailing address

2132 N. Kansas Ave.,
Ste B
Liberal, KS 67901
Phone (620) 624-7400

National Provider Directory

National Provider Directory

Locations

2132 N Kansas Ave
Ste B
Liberal, KS 67901
Phone (620) 624-7400

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1598091001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 N. KANSAS AVE.,",
            "address_2": "STE B",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "67901",
            "telephone_number": "620-624-7400",
            "fax_number": "620-624-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 N. KANSAS AVE",
            "address_2": "STE B",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "67901",
            "telephone_number": "620-624-7400",
            "fax_number": "620-624-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNFLOWER PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "LUCERO",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "620-624-7400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-28884",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "0413614",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberal, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.