NPIMap

Organization Active NPI

Mid-Kansas Pediatric Associates, P.a.

  • Pediatrics Physician
  • Wichita, KS
National Provider Identifier
1669433389
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MID-KANSAS PEDIATRIC ASSOCIATES, P.A.
Practice address
9825 Shannon Woods
Wichita, KS 67226-4100
Phone
(316) 634-2000
Fax
(316) 634-2321
NPI assigned
Mar 31, 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
Steve Chavez
Title
Treasurer
Phone
(316) 634-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

9825 Shannon Woods
Wichita, KS 67226-4100

Mailing address

9825 Shannon Woods
Wichita, KS 67226-4100
Phone (316) 634-2000

National Provider Directory

National Provider Directory

Locations

1635 Freedom St
Derby, KS 67037

6837 W 37th St N
Bldg 1
Wichita, KS 67205
Phone (316) 773-3100

7570 W 21st St N
Bldg 1014
Wichita, KS 67205
Phone (316) 773-3100

Practitioners & affiliated clinicians

Practitioners 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669433389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 SHANNON WOODS",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264100",
            "telephone_number": "316-634-2000",
            "fax_number": "316-634-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 SHANNON WOODS",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264100",
            "telephone_number": "316-634-2000",
            "fax_number": "316-634-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-KANSAS PEDIATRIC ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "316-634-2000"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "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 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.