Organization Active NPI

Ear Nose & Throat Surgical Group of Wichita PA

  • Specialist
  • Wichita, KS
National Provider Identifier
1598969784
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
EAR NOSE & THROAT SURGICAL GROUP OF WICHITA PA
Practice address
1301 N West St
Ste 1
Wichita, KS 67203-1347
Phone
(316) 945-5245
Fax
(316) 945-5618
NPI assigned
Jun 12, 2007
Last updated
Mar 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Donald L James, MDNPI 1275592339
Title
Otolaryngologist
Phone
(316) 945-5245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

1301 N West St
Ste 1
Wichita, KS 67203-1347

Mailing address

1301 N West St
Ste 1
Wichita, KS 67203-1347
Phone (316) 945-5245

Other identifiers 1

IdentifierTypeStateIssuer
016607OtherKSMEDICARE PROVIDER NUMBER

Other names 1

  • ENT SURGICAL GROUP Other name

National Provider Directory

National Provider Directory

Locations

1301 N West St
Wichita, KS 67203
Phone (785) 628-3131

1301 N West St
Ste 1
Wichita, KS 67203
Phone (316) 945-5245

1301 N West St
Ste 5
Wichita, KS 67203
Phone (316) 530-2179

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": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1598969784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N WEST ST",
            "address_2": "STE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672031347",
            "telephone_number": "316-945-5245",
            "fax_number": "316-945-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N WEST ST",
            "address_2": "STE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672031347",
            "telephone_number": "316-945-5245",
            "fax_number": "316-945-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE & THROAT SURGICAL GROUP OF WICHITA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OTOLARYNGOLOGIST",
        "authorized_official_telephone_number": "316-945-5245",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "016607",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENT SURGICAL GROUP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 25, 2008; 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.