MJM Kansas Internal Medicine, P.a.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MJM KANSAS INTERNAL MEDICINE, P.A.

Practice address

3161 N Webb Rd
Wichita, KS 67226-8104

Phone

(316) 669-0777

Fax

(316) 669-0009

NPI assigned

Jun 7, 2021

Last updated

Sep 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beth Horvatich

Title

Director of Operations

Phone

(402) 614-4969

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Madelyn Kingsley, NP

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1649977596
  NPD (past)
• Brandyn James Rathman, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1285224063
  NPD (past)

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1720655012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268104",
            "telephone_number": "316-669-0777",
            "fax_number": "316-669-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268104",
            "telephone_number": "316-669-0777",
            "fax_number": "316-669-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJM KANSAS INTERNAL MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "HORVATICH",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "402-614-4969"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Mitchell
• Lindsey J Mitchell, PA-C
• Shane Mitchell Sr.
• Larry David Mitnaul Jr., M.D., M.P.H., M.S.
• Natalie Mizell, M.S. CCC-SLP
• MKC Counseling, LLC
• Mobile Doctors of Kansas
• Mobile Medical II, LLC
• Mobile Medical, LLC
• Mobile OT LLC

• General Practice Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• General Practice Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.