NPIMap

Organization Active NPI

Psu Student Health Center

  • Internal Medicine Physician
  • Pittsburg, KS
National Provider Identifier
1710273388
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-27493 Issued in KS
Legal business name
PSU STUDENT HEALTH CENTER
Practice address
1801 S Broadway St
Pittsburg, KS 66762
Phone
(620) 235-4452
Fax
(620) 235-6135
NPI assigned
Jun 22, 2011
Last updated
Jun 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Authorized official

Name
Brenda N Robinson, M.D.
Title
Medical Director
Phone
(620) 235-4452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04-27493 KS Primary

Addresses

Primary practice location

1801 S Broadway St
Pittsburg, KS 66762

Mailing address

1701 S Broadway St
Pittsburg, KS 66762-5856
Phone (620) 235-4452

National Provider Directory

National Provider Directory
Tax ID family
Pittsburg State University2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1701 S Broadway St
Pittsburg, KS 66762
Phone (620) 231-7000

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1710273388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 S BROADWAY ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667625856",
            "telephone_number": "620-235-4452",
            "fax_number": "620-235-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S BROADWAY ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "66762",
            "telephone_number": "620-235-4452",
            "fax_number": "620-235-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSU STUDENT HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "620-235-4452",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-27493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.