Kansas Medical Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0427794 Issued in KS

Legal business name

KANSAS MEDICAL ASSOCIATES

Practice address

943 N Andover Rd
Andover, KS 67002-9795

Phone

(316) 733-4747

Fax

(316) 733-5253

NPI assigned

Mar 26, 2007

Last updated

Nov 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Karletta Pergeson, CPPM

Title

Office Manager

Phone

(316) 733-4747

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 12

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.

• Richard Dean Miller, MD

  • Pediatrics Physician
  • Andover, KS
  • NPI 1962464768
  Medicare reassignment Care Compare group NPD
• Sitha Uy Miller, MD

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1205929957
  Medicare reassignment Care Compare group NPD
• Kimberley Ensor, APRN

  • Family Nurse Practitioner
  • Winfield, KS
  • NPI 1912613928
  Medicare reassignment NPD
• Peshiancy Olwith

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1417736513
  Medicare reassignment NPD
• Christa Caudillo, DNP, FNP-BC

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1346950268
  NPD
• Jacqueline E Leo

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1912554387
  NPD
• Kristine Ann Alvarez, PA

  • Physician Assistant
  • Hutchinson, KS
  • NPI 1568546562
  NPD (past)
• Michelle Huynh, APRN

  • Nurse Practitioner
  • Wichita, KS
  • NPI 1134853690
  NPD (past)
• Mukaila Abiola Kadiri, NP

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1790241149
  NPD (past)
• Timothy J. Mason, O.D.

  • Optometrist
  • Wichita, KS
  • NPI 1992703573
  NPD (past)
• David L Waldie, O.D.

  • Optometrist
  • Wichita, KS
  • NPI 1982600821
  NPD (past)
• Aurora Cheyenne Yontz, APRN

  • Family Nurse Practitioner
  • Andover, KS
  • NPI 1053953711
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1851418404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 N ANDOVER RD",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670029795",
            "telephone_number": "316-733-4747",
            "fax_number": "316-733-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 N ANDOVER RD",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670029795",
            "telephone_number": "316-733-4747",
            "fax_number": "316-733-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "PERGESON",
        "authorized_official_first_name": "KARLETTA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "316-733-4747",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPPM"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "0427794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100353820F",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Dialysis LLC (Andover Dialysis)
• Kairos Counseling LLC
• Kaleidoscope Speech-Language Therapy LLC
• Michelle Lynn Kane, MA, CCC-SLP
• Kansas Anesthesia Providers, LLC
• Kansas Medical Center LLC
• Kansas Medical Center, LLC (KMC Physicians Part A)
• Kansas Medical Center, LLC (KMC Physicians)
• Kansas Medical Center, LLC (Andover Anesthesia Care Specialists)
• Kansas Medical Center, LLC (Andover Cardiology)

• Internal Medicine Physician in Andover, KS
• Providers in Andover, KS by specialty
• Internal Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.