Active NPI
Mid-America Diabetes Associates, PA
- Endocrinology, Diabetes & Metabolism Physician
- Wichita, KS
National Provider Identifier
1740365717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 04-15254
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100213320A | Medicaid | KS | |
| CU0422 | Other | KS | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Diabetes Educator Registered Nurse
- Wichita, KS
- NPI 1699804450
-
- Diabetes Educator Registered Nurse
- Wichita, KS
- NPI 1962531749
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.