NPIMap

Organization Active NPI

Family Medcenters, P.a.

  • Urgent Care Clinic/Center
  • Derby, KS
National Provider Identifier
1790130458
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
FAMILY MEDCENTERS, P.A.
Practice address
1101 N Rock Rd
Derby, KS 67037-3705
Phone
(316) 788-6963
Fax
(316) 789-1102
NPI assigned
May 2, 2016
Last updated
May 2, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY MEDCENTERS, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
David W. Niederee, M.D.
Title
President
Phone
(316) 788-6963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

1101 N Rock Rd
Derby, KS 67037-3705

Mailing address

1101 N Rock Rd
Derby, KS 67037-3705
Phone (316) 788-6963

National Provider Directory

National Provider Directory
Tax ID family
Family Medcenters PA5 organizations share this tax ID, including this one
Part of
Family Medcenters PA

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1790130458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N ROCK RD",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373705",
            "telephone_number": "316-788-6963",
            "fax_number": "316-789-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N ROCK RD",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373705",
            "telephone_number": "316-788-6963",
            "fax_number": "316-789-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDCENTERS, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY MEDCENTERS, P.A.",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "NIEDEREE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-788-6963",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.