Organization Active NPI

Mid Kansas Family Practice PA

  • Family Medicine Physician
  • Hesston, KS
National Provider Identifier
1851328058
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0420710 Issued in KS
Legal business name
MID KANSAS FAMILY PRACTICE PA
Practice address
705 E Randall
Hesston, KS 67062
Phone
(620) 327-2440
Fax
(620) 327-2062
NPI assigned
Jun 26, 2006
Last updated
Jun 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Authorized official

Name
Bev A Heim
Title
Office Manager
Phone
(620) 327-2440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0420710 KS Primary

Addresses

Primary practice location

705 E Randall
Hesston, KS 67062

Mailing address

705 E Randall
PO Box 609
Hesston, KS 67062
Phone (620) 327-2440

Other identifiers 1

IdentifierTypeStateIssuer
100411140AMedicaidKS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1851328058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E RANDALL",
            "address_2": "PO BOX 609",
            "city": "HESSTON",
            "state": "KS",
            "postal_code": "67062",
            "telephone_number": "620-327-2440",
            "fax_number": "620-327-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E RANDALL",
            "city": "HESSTON",
            "state": "KS",
            "postal_code": "67062",
            "telephone_number": "620-327-2440",
            "fax_number": "620-327-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID KANSAS FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "HEIM",
        "authorized_official_first_name": "BEV",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "620-327-2440"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0420710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100411140A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesston, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.