Organization Active NPI

Mid-America Diabetes Associates, PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Wichita, KS
National Provider Identifier
1740365717
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
04-15254 Issued in KS
Legal business name
MID-AMERICA DIABETES ASSOCIATES, PA
Practice address
8533 E 32ND St N
Wichita, KS 67226
Phone
(316) 687-3100
Fax
(316) 687-0286
NPI assigned
Oct 26, 2006
Last updated
May 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Authorized official

Name
Dr. Richard A Guthrie, M.D.
Title
President, Physician
Phone
(316) 644-0908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 04-15254 KS Primary

Addresses

Primary practice location

8533 E 32ND St N
Wichita, KS 67226

Mailing address

22015 W 101St St N
Mount Hope, KS 67108-9710
Phone (316) 644-0908

Other identifiers 2

IdentifierTypeStateIssuer
100213320AMedicaidKS
CU0422OtherKSRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

950 S Franklin Ave
Colby, KS 67701
Phone (316) 687-3100

200 S Hillside St
Wichita, KS 67211
Phone (316) 687-3100

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1740365717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22015 W 101ST ST N",
            "city": "MOUNT HOPE",
            "state": "KS",
            "postal_code": "671089710",
            "telephone_number": "316-644-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8533 E 32ND ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67226",
            "telephone_number": "316-687-3100",
            "fax_number": "316-687-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-AMERICA DIABETES ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "GUTHRIE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT, PHYSICIAN",
        "authorized_official_telephone_number": "316-644-0908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "KS",
            "license": "04-15254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100213320A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CU0422",
            "state": "KS"
        }
    ],
    "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 May 17, 2018; 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.