Organization Active NPI

Pastor R Causin Jr. M.D., L.L.C.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Wichita, KS
National Provider Identifier
1598864001
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
0429554 Issued in KS
Legal business name
PASTOR R CAUSIN JR. M.D., L.L.C.
Practice address
3223 N Webb Rd
Suite 5
Wichita, KS 67226-8175
Phone
(316) 609-3020
Fax
(316) 609-3070
NPI assigned
Sep 21, 2006
Last updated
Feb 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Authorized official

Name
Dr. Pastor R Causin Jr., M.D.NPI 1942302625
Title
Dr.
Phone
(316) 609-3020

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 0429554 KS Primary

Addresses

Primary practice location

3223 N Webb Rd
Suite 5
Wichita, KS 67226-8175

Mailing address

5051 E Lincoln St
10-A
Wichita, KS 67218-2416
Phone (316) 683-8849

Other identifiers 2

IdentifierTypeStateIssuer
105406OtherKSMEDICARE PTAN
100420530AMedicaidKS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1598864001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5051 E LINCOLN ST",
            "address_2": "10-A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182416",
            "telephone_number": "316-683-8849",
            "fax_number": "316-260-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 N WEBB RD",
            "address_2": "SUITE 5",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268175",
            "telephone_number": "316-609-3020",
            "fax_number": "316-609-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASTOR R CAUSIN JR. M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "CAUSIN",
        "authorized_official_first_name": "PASTOR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "316-609-3020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "KS",
            "license": "0429554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "105406",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100420530A",
            "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 Feb 16, 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.