Individual provider Active NPI

Charles M Wurm, PA

  • Physician Assistant
  • Topeka, KS
National Provider Identifier
1801868260
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1500413 Issued in KS
Practice address
600 SW Jewell Ave
Topeka, KS 66606-1607
Phone
(785) 292-5310
Fax
(785) 295-5370
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1500413 KS Primary

Addresses

Primary practice location

600 SW Jewell Ave
Topeka, KS 66606-1607

Mailing address

PO Box 1657
Topeka, KS 66601-1657
Phone (785) 295-5307

Other identifiers 1

IdentifierTypeStateIssuer
100342090DMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1500413KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Physician Clinics Inc. Physician Assistant Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: charles.wurm@direct.lmh.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303084800000",
    "number": "1801868260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1657",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666011657",
            "telephone_number": "785-295-5307",
            "fax_number": "785-270-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SW JEWELL AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061607",
            "telephone_number": "785-292-5310",
            "fax_number": "785-295-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURM",
        "first_name": "CHARLES",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2011-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1500413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100342090D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.