Organization Active NPI

Ben L. Short, M.D., LLC

  • Family Medicine Physician
  • Winfield, KS
National Provider Identifier
1629011994
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BEN L. SHORT, M.D., LLC
Practice address
1230 E 6TH Ave
Suite 2B
Winfield, KS 67156-3143
Phone
(620) 221-7669
Fax
(620) 221-7609
NPI assigned
Jun 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ben Lee Short, M.D.
Title
President
Phone
(620) 221-7669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1230 E 6TH Ave
Suite 2B
Winfield, KS 67156-3143

Mailing address

1230 E 6TH Ave
Suite 2B
Winfield, KS 67156-3143
Phone (620) 221-7669

Other identifiers 1

IdentifierTypeStateIssuer
110868OtherKSBC/BS

National Provider Directory

National Provider Directory

Locations

1230 E 6th Ave
Ste 2B
Winfield, KS 67156
Phone (620) 221-7669

Practitioners & affiliated clinicians

Practitioners 3

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": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629011994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 E 6TH AVE",
            "address_2": "SUITE 2B",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671563143",
            "telephone_number": "620-221-7669",
            "fax_number": "620-221-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 E 6TH AVE",
            "address_2": "SUITE 2B",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671563143",
            "telephone_number": "620-221-7669",
            "fax_number": "620-221-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN L. SHORT, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-221-7669",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "110868",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.