Individual provider Active NPI

John F. McMaster, MD

  • Emergency Medicine Physician
  • Wichita, KS
National Provider Identifier
1710925888
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
04-20168 Issued in KS
Practice address
9415 E Harry St
Ste 605
Wichita, KS 67207-5089
Phone
(316) 681-0423
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-20168 KS
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 04-20168 KS
Emergency Medicine Physician 207P00000X 04-20168 KS Primary

Addresses

Primary practice location

9415 E Harry St
Ste 605
Wichita, KS 67207-5089

Mailing address

14311 E Tipperary Cir
Wichita, KS 67230-1517

Other identifiers 1

IdentifierTypeStateIssuer
100146110EMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040202000213 KS Practitioner - Emergency MedicinePractitioner - Family PracticePractitioner - Preventive Medicine 8325941792 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-20168KSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Physicians LLC CurrentSince Jan 1, 2015 Accepting new patients
Cep America - Kansas LLC Emergency Medicine CurrentSince Jun 15, 2015 Accepting new patients
Lawrence Physicians LLC Current Accepting new patients
Lawrence Physicians LLC CurrentSince Jan 1, 2015 Accepting new patients
Cep America - Kansas LLC Emergency Medicine Current Accepting new patients
Cep America - Kansas LLC Emergency Medicine CurrentSince Jun 15, 2015 Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

330 Arkansas St
Ste 205
Lawrence, KS 66044
Phone (785) 505-5045

325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988

1112 W 6th St
Ste 109
Lawrence, KS 66044
Phone (785) 840-9292

1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1710925888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14311 E TIPPERARY CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672301517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 E HARRY ST",
            "address_2": "STE 605",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075089",
            "telephone_number": "316-681-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMASTER",
        "first_name": "JOHN",
        "middle_name": "F.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-20168",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "KS",
            "license": "04-20168",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "04-20168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100146110E",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.