Medisource Healthcare Solutions, Inc

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

MEDISOURCE HEALTHCARE SOLUTIONS, INC

Practice address

6245 W Kollmeyer CT
Wichita, KS 67205-5278

Phone

(316) 263-0776

Fax

(316) 263-0818

NPI assigned

Apr 30, 2015

Organization subpart

No

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

Authorized official

Name

Julie Frazier

Title

Owner

Phone

(316) 263-0776

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1619354438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 W KOLLMEYER CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672055278",
            "telephone_number": "316-263-0776",
            "fax_number": "316-263-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 W KOLLMEYER CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672055278",
            "telephone_number": "316-263-0776",
            "fax_number": "316-263-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDISOURCE HEALTHCARE SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-263-0776"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Contractor in Wichita, KS
• Providers in Wichita, KS by specialty
• Contractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.