Wichita Urology Group P.a.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

WICHITA UROLOGY GROUP P.A.

Practice address

2626 N Webb Rd
Wichita, KS 67226-8110

Phone

(316) 636-6100

Fax

(316) 636-5813

NPI assigned

Jan 3, 2006

Last updated

Jun 28, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Twila Puritty

Title

Ceo - Administrator

Phone

(316) 636-6116

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 40

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.

• Christopher G Baalmann, M.D.

  • Vascular & Interventional Radiology Physician
  • Wichita, KS
  • NPI 1992099113
  Medicare reassignment Care Compare group NPD
• Irfan Nazir Hassan, MD

  • Vascular & Interventional Radiology Physician
  • Wichita, KS
  • NPI 1730665357
  Medicare reassignment Care Compare group NPD
• Kelsie Hoffman, APRN

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1548098536
  Medicare reassignment Care Compare group NPD
• Kenneth Elliott Schmanke, MD

  • Urology Physician
  • Wichita, KS
  • NPI 1316571623
  Medicare reassignment Care Compare group NPD
• Jordan James Stiverson, MD

  • Urology Physician
  • Wichita, KS
  • NPI 1891321378
  Medicare reassignment Care Compare group NPD
• Gregory F Byrd, MD

  • Urology Physician
  • Wichita, KS
  • NPI 1376619734
  Medicare reassignment Care Compare group
• Zachary Castor, PA-C

  • Physician Assistant
  • Wichita, KS
  • NPI 1760882112
  Medicare reassignment Care Compare group
• Jenny M. Cline, P.A. - C.

  • Medical Physician Assistant
  • Wichita, KS
  • NPI 1760597892
  Medicare reassignment Care Compare group
• Ellen Ware Cooke, MD

  • Radiation Oncology Physician
  • Wichita, KS
  • NPI 1427213289
  Medicare reassignment Care Compare group
• Jeffrey S Davis, MD

  • Urology Physician
  • Wichita, KS
  • NPI 1073773008
  Medicare reassignment Care Compare group
• Ayham J Farha, MD

  • Urology Physician
  • Wichita, KS
  • NPI 1982682753
  Medicare reassignment Care Compare group
• Shandi Mae Husen, APRN, FNP-C

  • Nurse Practitioner
  • Wichita, KS
  • NPI 1518469428
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1639157498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268110",
            "telephone_number": "316-636-6100",
            "fax_number": "316-636-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268110",
            "telephone_number": "316-636-6100",
            "fax_number": "316-636-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA UROLOGY GROUP P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "PURITTY",
        "authorized_official_first_name": "TWILA",
        "authorized_official_title_or_position": "CEO - ADMINISTRATOR",
        "authorized_official_telephone_number": "316-636-6116"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100410100A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wichita Surgical Specialists PA
• Wichita Therapy Stop
• Wichita Tran4Mation LLC
• Wichita Trauma & Surgical Critical Care Associates LLC
• Wichita Treatment Center, Inc
• Wichita Urology Surgery Center LLC
• Wichita Vascular and Vein Center, LLC (Wichita Vascular and Vein Center)
• Wichita Vision Institute P.a.
• Wichita Wellness and Rehab LLC.
• Wichita Women's Initiative Network

• Urology Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Urology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.