Wichita RT Associates LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

WICHITA RT ASSOCIATES LLC

Practice address

9300 E 29TH St N Ste 350
Wichita, KS 67226-2179

Phone

(316) 636-5800

Fax

(316) 636-5801

NPI assigned

Jun 19, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Derek M Prentice

Title

Managing Member

Phone

(405) 418-2200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497830400000",
    "number": "1851821136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 HEFNER POINTE DR STE 209",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205054",
            "telephone_number": "405-418-2900",
            "fax_number": "405-418-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 E 29TH ST N STE 350",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262179",
            "telephone_number": "316-636-5800",
            "fax_number": "316-636-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA RT ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2017-06-19",
        "status": "A",
        "authorized_official_last_name": "PRENTICE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "405-418-2200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wichita Radiological Group Prof Assoc
• Wichita Radiological Group Prof Assoc
• Wichita Rehab and Wellness L.L.C
• Wichita Rehabilitation Hospital LLC
• Wichita Rehabilitation Medicine PA
• Wichita Sleep Solutions LLC
• Wichita SNF Healthcare LLC
• Wichita State University
• Wichita State University
• Wichita State University

• Radiation Oncology Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Radiation Oncology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; 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.