NPIMap

Organization Active NPI

Promed Physican Services, P.a.

  • Occupational Medicine Clinic/Center
  • Wichita, KS
National Provider Identifier
1649719972
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
PROMED PHYSICAN SERVICES, P.A.
Practice address
753 N West St
Wichita, KS 67203-1240
Phone
(316) 685-5691
Fax
(316) 655-0736
NPI assigned
Feb 20, 2017
Last updated
Feb 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Mrs. Teresa Henderson
Title
Operations Manager
Phone
(316) 685-5691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X NU Primary

Addresses

Primary practice location

753 N West St
Wichita, KS 67203-1240

Mailing address

753 N West St
Wichita, KS 67203-1240
Phone (316) 685-5691

National Provider Directory

National Provider Directory

Locations

753 N West St
Wichita, KS 67203
Phone (316) 685-5691

Practitioners & affiliated clinicians

Practitioners 4

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": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1649719972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 N WEST ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672031240",
            "telephone_number": "316-685-5691",
            "fax_number": "316-655-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 N WEST ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672031240",
            "telephone_number": "316-685-5691",
            "fax_number": "316-655-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED PHYSICAN SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "316-685-5691",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.