NPIMap

Organization Active NPI

Wichita Ambulatory Anesthesia Providers LLC

  • Anesthesiology Physician
  • Wichita, KS
National Provider Identifier
1649754789
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
WICHITA AMBULATORY ANESTHESIA PROVIDERS LLC
Practice address
818 N Emporia St Ste 108
Wichita, KS 67214-3725
Phone
(316) 281-3700
NPI assigned
Sep 24, 2018
Last updated
Dec 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Authorized official

Name
Sounida Douangpraseuth, MDNPI 1740406065
Title
Partnership Representative
Phone
(316) 516-7361

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

818 N Emporia St Ste 108
Wichita, KS 67214-3725

Mailing address

330 W 2ND St N Unit 3358
Wichita, KS 67201-0239
Phone (316) 516-7361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181105000905 KS Part B Supplier - Clinic/Group Practice 8921351123 Receives reassigned benefits from 20 practitioners
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

330 W 2nd St N
Unit 3358
Wichita, KS 67201

9050 E 29th St N
Wichita, KS 67226
Phone (316) 722-6260

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1649754789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W 2ND ST N UNIT 3358",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672010239",
            "telephone_number": "316-516-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 N EMPORIA ST STE 108",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143725",
            "telephone_number": "316-281-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA AMBULATORY ANESTHESIA PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "DOUANGPRASEUTH",
        "authorized_official_first_name": "SOUNIDA",
        "authorized_official_title_or_position": "PARTNERSHIP REPRESENTATIVE",
        "authorized_official_telephone_number": "316-516-7361",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "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 Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.