NPIMap

Organization Active NPI

Wichita East Clinic

  • Internal Medicine Physician
  • Andover, KS
National Provider Identifier
1720261340
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WICHITA EAST CLINIC
Practice address
1145 N Andover Rd
Andover, KS 67002-8900
Phone
(316) 733-4747
Fax
(316) 733-5253
NPI assigned
Dec 6, 2007
Last updated
Apr 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Lisa H Le, M.D.NPI 1720015449
Title
Owner
Phone
(316) 733-4747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1145 N Andover Rd
Andover, KS 67002-8900

Mailing address

1145 N Andover Rd
Andover, KS 67002-8900
Phone (316) 733-4747

National Provider Directory

National Provider Directory

Locations

1145 N Andover Rd
Andover, KS 67002
Phone (316) 733-4747

Practitioners & affiliated clinicians

Practitioners 1

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": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1720261340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 N ANDOVER RD",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670028900",
            "telephone_number": "316-733-4747",
            "fax_number": "316-733-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 N ANDOVER RD",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670028900",
            "telephone_number": "316-733-4747",
            "fax_number": "316-733-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA EAST CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-733-4747",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.