Medical Arts Family Medicine

Key facts

NPI: 1689790735
Entity type: Organization (NPI type 2)
Primary specialty: Family Medicine Physician 207Q00000X
License: 0427500 (KS)
Legal business name: MEDICAL ARTS FAMILY MEDICINE
Practice address: 3601 S 4TH St
Leavenworth, KS 66048-5015
Phone: (913) 682-2600
NPI assigned: Mar 21, 2007
Organization subpart: No

Authorized official

Name: Christine Odonnell
Title: Manager
Phone: (913) 682-2600

Practitioners 6

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

Patricia Ann Hurd, ARNP Family Nurse Practitioner · Kansas City, KS · NPI 1093786691

NPD (past)
Mark D Miller, PA-C Physician Assistant · Winchester, KS · NPI 1154425544

NPD (past)
Sahbrennah Smith, MD Family Medicine Physician · Leavenworth, KS · NPI 1205991296

NPD (past) FAMILY MEDICINE
Genevieve Kathleen Adams, APRN Family Nurse Practitioner · Saint Joseph, MO · NPI 1780652560

NPD (past)
Diana Corpstein, ARNP Family Nurse Practitioner · Port Charlotte, FL · NPI 1265434625

NPD (past)
Benesto F Tumanut, M.D. Specialist · Kansas City, MO · NPI 1235100702

NPD (past)

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician Group: 193400000X SINGLE SPECIALTY GROUP	207Q00000X	0427500	KS	Yes

Addresses

Primary practice location

3601 S 4TH St
Leavenworth, KS 66048-5015

Mailing address

3601 S 4TH St
Leavenworth, KS 66048-5015

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689790735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 S 4TH ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S 4TH ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485015",
            "telephone_number": "913-682-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ARTS FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ODONNELL",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "913-682-2600"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0427500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, KS

All providers in Leavenworth, KS · Family Medicine Physician in Kansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.