Pearl OBGYN LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

PEARL OBGYN LLC

Practice address

3252 E Douglas Ave Ste 101
Wichita, KS 67208-3354

Phone

(316) 687-3275

Fax

(316) 469-5222

NPI assigned

Jun 14, 2021

Organization subpart

No

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

Authorized official

Name

Damen Hershberger, MDNPI 1023308939

Title

Owner

Phone

(316) 687-3275

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24005/brand/2/csg/1/fhir/r4

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Damen Wayne Hershberger, M.D.

  • Obstetrics & Gynecology Physician
  • Wichita, KS
  • NPI 1023308939
  Medicare reassignment Care Compare group NPD Authorized official
• Keley M Sulawske, PA-C

  • Physician Assistant
  • Wichita, KS
  • NPI 1346808094
  Medicare reassignment Care Compare group NPD
• Amanda Twist, PA

  • Medical Physician Assistant
  • Wichita, KS
  • NPI 1720032568
  Medicare reassignment Care Compare group
• Anna F Stork-Fury, D.O.

  • Obstetrics Physician
  • Wichita, KS
  • NPI 1457309429
  Medicare reassignment NPD (past)
• Mindy S Kile, PA

  • Medical Physician Assistant
  • Arkansas City, KS
  • NPI 1346573078
  Medicare reassignment
• Holly Dawn Graves, APRN

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1083085898
  NPD

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1659949931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3252 E DOUGLAS AVE STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083354",
            "telephone_number": "316-687-3275",
            "fax_number": "316-469-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3252 E DOUGLAS AVE STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083354",
            "telephone_number": "316-687-3275",
            "fax_number": "316-469-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL OBGYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "HERSHBERGER",
        "authorized_official_first_name": "DAMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-687-3275",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn Peacock, COTA
• Peak Counseling LLC
• Peak Performance Health PA
• Pamela K Pearce, LMSW
• Anneke Pearcy, LSCSW
• Clara Pearson
• Faith Deonne Pearson, LMSW
• Jeanne Lynn Pearson, APRN
• Jesse Pearson, CNMT
• Joshua Pearson

• Obstetrics & Gynecology Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Obstetrics & Gynecology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.