Active NPI
James Bryan Wohlwend, MD
- Pediatrics Physician
- Kansas City, MO
National Provider Identifier
1720051220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 04-31262
- Practice address
- 9405 N. Oak Trafficway
Kansas City, MO 64155 - Phone
- (816) 412-2900
- Fax
- (816) 412-2915
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 04-31262 | KS | Primary |
Addresses
Primary practice location
9405 N. Oak Trafficway
Kansas City, MO 64155
Mailing address
9405 N. Oak Trafficway
Kansas City, MO 64155
Phone (816) 412-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200267880B | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-31262 | KS | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Priority Care Pediatrics, LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Kansas City, MO
- NPI 1033157664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451952000000",
"number": "1720051220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9405 N. OAK TRAFFICWAY",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64155",
"telephone_number": "816-412-2900",
"fax_number": "816-412-2915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9405 N. OAK TRAFFICWAY",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64155",
"telephone_number": "816-412-2900",
"fax_number": "816-412-2915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOHLWEND",
"first_name": "JAMES",
"middle_name": "BRYAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2016-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KS",
"license": "04-31262",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200267880B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.