Richard W Spann, MD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

04-13573 Issued in KS

Practice address

3600 E Harry St
Wichita, KS 67218-3713

Phone

(316) 268-5000

Fax

(316) 689-5873

NPI assigned

Oct 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ascension Via Christi Hospitals Wichita Inc.

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1871589333
  NPD (past)
• Via Christi Regional Medical Center

  • Critical Care Medicine (Internal Medicine) Physician
  • Wichita, KS
  • NPI 1194711325
  NPD (past)
• World Impact, Inc.

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1023258266
  NPD (past)

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1609867779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542N LONGFORD LN",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061816",
            "telephone_number": "316-634-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183713",
            "telephone_number": "316-268-5000",
            "fax_number": "316-689-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANN",
        "first_name": "RICHARD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KS",
            "license": "04-13573",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "KS",
            "license": "04-13573",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100080790C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southerncare Inc
• Paul Sovell, MD
• Stephen Kelley Sowards, PH.D.
• SP Wichita Homecare LLC
• Dee A Spade, DO
• Ann Marie Sparacino, OD
• Kaitlin Sparks, PHARMD
• Keith Sparks, DC
• Leslie Sparks
• Rachel Sparks, DC

• Primary Care Clinic/Center in Wichita, KS
• Providers in Wichita, KS by specialty
• Primary Care Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.