Preferred Medical Associates
Organization Active NPI Family Medicine Physician · Goddard, KS
NPI 1841316619 · NPPES record last updated Jul 14, 2010
Key facts
- NPI
- 1841316619
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- PREFERRED MEDICAL ASSOCIATES
- Practice address
- 216 N Main
Goddard, KS 67052 - Phone
- (316) 794-8655
- Fax
- (316) 794-2433
- NPI assigned
- Mar 22, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- PREFERRED MEDICAL ASSOCIATES
Authorized official
- Name
- Dr. Edward J Hett, MD
- Title
- President
- Phone
- (316) 268-8080
Practitioners 10
-
Mary E Faragher, ARNP
-
Mary K Goodwin, MD
-
Linda S Kendrick, PA-C
-
Nancy L Kirk, PA-C
-
Carolina M Soria, DO
-
Catherine E. Vitosh, M.D.
-
Rose E. Wusterbarth, PA-C
-
Aaron M Fields, DO
-
Lisa P Martin, MD
National Provider Directory
- Part of
- PMC Inc Dba Snyder
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
216 N Main
Goddard, KS 67052
Mailing address
PO Box 764
Wichita, KS 67201-0764
Phone (316) 794-8655
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100088910 F | Medicaid | KS |
Other names
- VCMA GODDARD
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- Kimberly Dawn Presley
- Samantha Jo Rasmussen
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All providers in Goddard, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.