David W Phelps, M.D

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

04-17329 Issued in KS

Practice address

401 Woodland Hills Blvd
Fort Scott, KS 66701-8797

Phone

(620) 223-2200

NPI assigned

Aug 14, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• David W Phelps MD PA

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1205968252
  NPD (past) Authorized official
• Mercy Kansas Communities Inc

  • Emergency Care Clinic/Center
  • Independence, KS
  • NPI 1417064957
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1790798692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WOODLAND HILLS BLVD",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667018797",
            "telephone_number": "620-223-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WOODLAND HILLS BLVD",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667018797",
            "telephone_number": "620-223-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-17329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS, PC",
            "identifier": "020223",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roger Parris, M.D.
• Stana K Parsons, OTA
• Max H Patterson, DDS
• Sherry Payne-Sisney, MSW, LBSW
• Julie Diane Pellett, PHARMD
• Kerry Pommier
• Julie Ann Postai, APRN
• Presbyterian Manors, Inc.
• Quality Transportation Service Company
• Quinlan Eye Center, PA

• Surgery Physician in Fort Scott, KS
• Providers in Fort Scott, KS by specialty
• Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.