Organization Active NPI

Zinkovsky Pediatrics, Inc

  • Pediatrics Physician
  • Wichita, KS
National Provider Identifier
1790080927
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
04-28830 Issued in KS
Legal business name
ZINKOVSKY PEDIATRICS, INC
Practice address
3730 N Ridge Rd
Suite 100
Wichita, KS 67205-1227
Phone
(316) 462-6200
Fax
(316) 462-6201
NPI assigned
Jan 19, 2011
Last updated
Jan 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Authorized official

Name
Dr. Sophia M Zinkovsky
Title
President
Phone
(316) 462-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 04-28830 KS Primary

Addresses

Primary practice location

3730 N Ridge Rd
Suite 100
Wichita, KS 67205-1227

Mailing address

3730 N Ridge Rd
Suite 100
Wichita, KS 67205-1227
Phone (316) 462-6200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1790080927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 N RIDGE RD",
            "address_2": "SUITE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051227",
            "telephone_number": "316-462-6200",
            "fax_number": "316-462-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 N RIDGE RD",
            "address_2": "SUITE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051227",
            "telephone_number": "316-462-6200",
            "fax_number": "316-462-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZINKOVSKY PEDIATRICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "ZINKOVSKY",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-462-6200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-28830",
            "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 19, 2011; 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.