Neal B Secrist, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0524232 Issued in KS

Practice address

2131 N Ridge Rd
Wichita, KS 67212-1570

Phone

(316) 773-1212

Fax

(316) 440-6601

NPI assigned

May 11, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Interoperability endpoints

• Direct secure messaging: neal.secrist@khindirect.org
• Direct secure messaging: neal.secrist@504542587387908.direct.elationemr.com

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

• Emergency Physicians of Salina, LLC

  • Emergency Medicine Physician
  • Salina, KS
  • NPI 1962577122
  NPD (past)
• Emergency Services, PA

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1629028881
  NPD (past)
• Runway Emergency Physicians LLC

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1063751352
  NPD (past)
• The Clara Barton Hospital Association Inc Hoisington Kansas

  • Medicare Defined Swing Bed Hospital Unit
  • Hoisington, KS
  • NPI 1144263625
  NPD (past)
• The Clara Barton Hospital Association Inc Hoisington Kansas

  • Surgery Physician
  • Hoisington, KS
  • NPI 1255697728
  NPD (past)
• The Clara Barton Hospital Association Inc Hoisington Kansas

  • Rural Health Clinic/Center
  • Hoisington, KS
  • NPI 1316109929

  Family Medicine

  NPD (past)
• The Clara Barton Hospital Association Inc Hoisington Kansas

  • Family Medicine Physician
  • Russell, KS
  • NPI 1770745382
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1790735728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 N RIDGE RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672121570",
            "telephone_number": "316-773-1212",
            "fax_number": "316-440-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 N RIDGE RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672121570",
            "telephone_number": "316-773-1212",
            "fax_number": "316-440-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECRIST",
        "first_name": "NEAL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0524232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "103897",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100232540C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter James Seberger, M.D., PH.D.
• Veronica Seberger, APRN, PMHNP
• Jennifer A. Sebes, NP
• Second Generation Enterprises Inc
• Lana Secrest, LSCSW
• Sedgwick County Developmental Disability Organization
• Sedgwick County Developmental Disability Organization
• Sedgwick Healthcare Investors, LP
• Amy Seery, MD
• Donald S Seery, MD

• Family Medicine Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.