NPIMap

Organization Active NPI

Kansas Professional Anesthesia and Pain Management Specialists, P.a.

  • Anesthesiology Physician
  • Wichita, KS
National Provider Identifier
1710967211
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
KANSAS PROFESSIONAL ANESTHESIA AND PAIN MANAGEMENT SPECIALISTS, P.A.
Practice address
1515 S Clifton Ave
#200
Wichita, KS 67218-2900
Phone
(316) 618-1515
Fax
(316) 618-8635
NPI assigned
Jan 19, 2006
Last updated
Oct 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Authorized official

Name
Jan Scott
Title
Office Manager
Phone
(316) 618-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

1515 S Clifton Ave
#200
Wichita, KS 67218-2900

Mailing address

1515 S Clifton Ave
#200
Wichita, KS 67218-2900
Phone (316) 618-1515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040212000345 KS Part B Supplier - Clinic/Group Practice 7416841184 Receives reassigned benefits from 1 practitioner
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

1101 N Rock Rd
Bldg 2
Derby, KS 67037
Phone (316) 771-9999

1515 S Clifton Ave
Ste 200
Wichita, KS 67218
Phone (316) 618-1515

Practitioners & affiliated clinicians

Practitioners 70

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 70

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1710967211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S CLIFTON AVE",
            "address_2": "#200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182900",
            "telephone_number": "316-618-1515",
            "fax_number": "316-618-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S CLIFTON AVE",
            "address_2": "#200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182900",
            "telephone_number": "316-618-1515",
            "fax_number": "316-618-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS PROFESSIONAL ANESTHESIA AND PAIN MANAGEMENT SPECIALISTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "316-618-1515"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "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 Oct 21, 2014; 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.

Verify at the official NPI Registry.