Kevin Hamm ,DO,PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

05-26968 Issued in KS

Legal business name

KEVIN HAMM ,DO,PA

Practice address

1323 N a St
Wellington, KS 67152-4350

Phone

(316) 755-0482

Fax

(316) 755-0458

NPI assigned

Jun 27, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Hamm, DONPI 1578657623

Title

Owner

Phone

(316) 755-0482

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kevin Hamm, DO, PA Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Hamm, DO,PA

  • Diagnostic Radiology Physician
  • Chanute, KS
  • NPI 1578657623
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1801150503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 373",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670020373",
            "telephone_number": "316-755-0482",
            "fax_number": "316-755-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 N A ST",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671524350",
            "telephone_number": "316-755-0482",
            "fax_number": "316-755-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN HAMM ,DO,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "HAMM",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-755-0482",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "05-26968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100297360C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1578657623",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kevin Hamm, DO, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Austin Dee Jones, DPT
• Joseph M. Baker, D.O. PA
• Jeff Kaufman, SATR
• David Robert Kelley, TS-LAC
• Debra D. Kerr Hudspeth, P.T.A.
• Khan Noohani MD PA
• Laboratory Corporation of America Holdings
• Kira Lake, LMSW
• Michele R Lawrence, B.A., AAPS
• Annette Linnebur, PA-C

• Diagnostic Radiology Physician in Wellington, KS
• Providers in Wellington, KS by specialty
• Diagnostic Radiology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.