Med Ped Clinic of Wichita PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0429468 Issued in KS

Legal business name

MED PED CLINIC OF WICHITA PA

Practice address

9415 E Harry St
Suite 202
Wichita, KS 67207-5089

Phone

(316) 691-0309

Fax

(316) 691-0881

NPI assigned

Sep 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Saleem Shahzad, MD

Title

President

Phone

(316) 691-0309

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Samrah Mansoor, MD

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1063581809
  NPD
• Zubair Hassan, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Wichita, KS
  • NPI 1336183060
  NPD (past)
• Ramzieh Azmeh, M.D.

  • Pediatrics Physician
  • Dayton, OH
  • NPI 1285735076
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1598868093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 E HARRY ST",
            "address_2": "SUITE 202",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075089",
            "telephone_number": "316-691-0309",
            "fax_number": "316-691-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 E HARRY ST",
            "address_2": "SUITE 202",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075089",
            "telephone_number": "316-691-0309",
            "fax_number": "316-691-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED PED CLINIC OF WICHITA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "SHAHZAD",
        "authorized_official_first_name": "SALEEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-691-0309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0429468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100410020H",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Bryan Means, OD
• Mila Lee Means, M.D.
• Thuy Means, MD
• Erica M Mears, AUD
• Trenton Meckenstock
• Med-Trans Corporation
• Med-Trans Corporation
• Med-Trans Corporation
• Michelle Medbery, RN
• Medco Ambulance Services, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.