Active NPI
Vep Hutchinson Emergency Medical Group, LLC
- Emergency Medicine Physician
- Hutchinson, KS
National Provider Identifier
1669879110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- VEP HUTCHINSON EMERGENCY MEDICAL GROUP, LLC
- Practice address
- 1701 E 23Rd Ave
Hutchinson, KS 67502-1105 - Phone
- (330) 493-4443
- NPI assigned
- Nov 28, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven P. Maron, M.D.
- Title
- President
- Phone
- (925) 225-5837
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
1701 E 23Rd Ave
Hutchinson, KS 67502-1105
Mailing address
4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (330) 493-4443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201117850A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 53
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Garden City, KS
- NPI 1750932091
-
- Family Medicine Physician
- Toledo, OH
- NPI 1073016895
Emergency Medicine, KS
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624492800000",
"number": "1669879110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4535 DRESSLER RD NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182545",
"telephone_number": "330-493-4443",
"fax_number": "330-493-8677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 E 23RD AVE",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675021105",
"telephone_number": "330-493-4443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VEP HUTCHINSON EMERGENCY MEDICAL GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-28",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A",
"authorized_official_last_name": "MARON",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "925-225-5837",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201117850A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.