Organization Active NPI

W H Whiteside Inc

  • Pediatrics Physician
  • Wichita, KS
National Provider Identifier
1780720722
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
W H WHITESIDE INC
Doing business as
College Hill Family & Pediatric Specialty Clinic
Practice address
5002 E Central Ave
Wichita, KS 67208-4166
Phone
(316) 681-0086
Fax
(316) 681-8013
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William Howard Whiteside, MD
Title
Doctor
Phone
(316) 681-0086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

5002 E Central Ave
Wichita, KS 67208-4166

Mailing address

5002 E Central Ave
Wichita, KS 67208-4166
Phone (316) 681-0086

Other identifiers 2

IdentifierTypeStateIssuer
103005OtherBCBS
663070OtherFIRST GUARD

Other names 1

  • College Hill Family & Pediatric Specialty Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

5002 E Central Ave
Wichita, KS 67208
Phone (316) 681-0086

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780720722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084166",
            "telephone_number": "316-681-0086",
            "fax_number": "316-681-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084166",
            "telephone_number": "316-681-0086",
            "fax_number": "316-681-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W H WHITESIDE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITESIDE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "316-681-0086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "103005",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST GUARD",
            "identifier": "663070",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "College Hill Family & Pediatric Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.