Steven M Passman, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

04-20338 Issued in KS

Practice address

1861 N Rock Rd
Suite 310
Wichita, KS 67206-4200

Phone

(316) 612-1833

Fax

(316) 612-2420

NPI assigned

Aug 14, 2006

Last updated

Mar 12, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mid-Kansas Dermatology Clinic, PA

  • Dermatology Physician
  • Wichita, KS
  • NPI 1285685008
  Authorized official Same address or phone

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1770596512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 N ROCK RD",
            "address_2": "SUITE 310",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672064200",
            "telephone_number": "316-612-1833",
            "fax_number": "316-612-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 N ROCK RD",
            "address_2": "SUITE 310",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672064200",
            "telephone_number": "316-612-1833",
            "fax_number": "316-612-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSMAN",
        "first_name": "STEVEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "KS",
            "license": "04-20338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "412085867-A002",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST GUARD",
            "identifier": "611580",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "110898",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00058828",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMIER BLUE",
            "identifier": "102832",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Parsons, CPTA
• Deanna J Parsons, PA
• Kasey L Parsons, MED LPC
• Leslie A Parsons, CRNA
• Naomi Passman
• Pastor R Causin Jr. M.D., L.L.C.
• Charmee Vipul Patadia, MD
• Paula L Pate, LCMFT
• Alexis Patee
• Meesha Patel, LMSW

• Procedural Dermatology Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Procedural Dermatology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.