NPIMap

Organization Active NPI

Abay Neuroscience Center LLC

  • Specialist
  • Wichita, KS
National Provider Identifier
1760418388
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ABAY NEUROSCIENCE CENTER LLC
Practice address
3223 N Webb Rd
Suite 1
Wichita, KS 67226-8175
Phone
(316) 609-2600
Fax
(316) 609-2800
NPI assigned
Jun 24, 2006
Last updated
Jan 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Authorized official

Name
Debby Eldred
Title
Administrative Assistant
Phone
(316) 609-2667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3223 N Webb Rd
Suite 1
Wichita, KS 67226-8175

Mailing address

3223 N Webb Rd
Suite 1
Wichita, KS 67226-8175
Phone (316) 609-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050524001263 KS Part B Supplier - Clinic/Group Practice 4183666720 Receives reassigned benefits from 16 practitioners
Practice locations: Dodge City, KS; Great Bend, KS; Greensburg, KS; Manhattan, KS; Pratt, KS; Scott City, KS; Wichita, KS
O20110207000645 KS DME Supplier - Physician - Unknown Physician Specialty 4183666720 Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

3223 N Webb Rd
Ste 1
Wichita, KS 67226
Phone (316) 609-2667

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1760418388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 N WEBB RD",
            "address_2": "SUITE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268175",
            "telephone_number": "316-609-2600",
            "fax_number": "316-609-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 N WEBB RD",
            "address_2": "SUITE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268175",
            "telephone_number": "316-609-2600",
            "fax_number": "316-609-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABAY NEUROSCIENCE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "ELDRED",
        "authorized_official_first_name": "DEBBY",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "316-609-2667"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.