Restore Medical Group Midwest LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RESTORE MEDICAL GROUP MIDWEST LLC

Doing business as

Restore First Health

Practice address

12021 E 13TH St N Ste 119
Wichita, KS 67206-2843

Phone

(316) 330-5353

Fax

(316) 330-5889

NPI assigned

Jul 13, 2022

Organization subpart

No

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

Authorized official

Name

Michael Mages

Title

Operations Manager

Phone

(316) 558-7497

Specialties & licenses 1

Addresses

Other names 1

• Restore First Health Doing business as

Medicare fee-for-service enrollment

Enrolled in KS2 enrollments

Enrollment records 2

Locations

Practitioners 4

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

• Jace W. Hyder, M.D.

  • Surgery Physician
  • Andover, KS
  • NPI 1336172907
  Medicare reassignment NPD
• Erica Schumacher, NP

  • Nurse Practitioner
  • Wichita, KS
  • NPI 1346512423
  Medicare reassignment NPD
• Mandy Kay Wood, NP

  • Acute Care Nurse Practitioner
  • Hutchinson, KS
  • NPI 1174112882
  Medicare reassignment NPD
• Jessica Miller, APRN

  • Family Nurse Practitioner
  • Blue Springs, MO
  • NPI 1508464306

  KS

  Medicare reassignment NPD

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723334400000",
    "number": "1609500701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12021 E 13TH ST N STE 119",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062843",
            "telephone_number": "316-330-5353",
            "fax_number": "316-330-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12021 E 13TH ST N STE 119",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062843",
            "telephone_number": "316-330-5353",
            "fax_number": "316-330-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE MEDICAL GROUP MIDWEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2024-08-11",
        "certification_date": "2024-08-11",
        "status": "A",
        "authorized_official_last_name": "MAGES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "316-558-7497"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore First Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Restorative Roots Doula LLC
• Restore Rehabilitation PA
• Mikayla Rettke
• Return to Motion Medical
• Reusser & Reusser, L.L.C
• Reusser and Reusser LLC (R2 Center for Dentistry)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.