Patricia a Bledsoe MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PATRICIA A BLEDSOE MD PA

Practice address

9449 E 21St St N Ste 200
Wichita, KS 67206-2970

Phone

(316) 866-2905

Fax

(316) 558-8392

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Monica Melean

Title

Office Manager

Phone

(316) 866-2905

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Associates in Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia A Bledsoe, MD

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1952325524
  Medicare reassignment Care Compare group NPD
• Scott A Bledsoe, MD

  • Family Medicine Physician
  • Salina, KS
  • NPI 1598711228
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861576886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9449 E 21ST ST N STE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9449 E 21ST ST N STE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062970",
            "telephone_number": "316-866-2905",
            "fax_number": "316-558-8392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA A BLEDSOE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MELEAN",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "316-866-2905"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "111220",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associates in Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sonal Bharat Patel
• Tarina Paresh Patel, DDS
• Pathway Church
• Pathways Holdings LLC
• Viviana Patino-Corona, LMSW
• Patricia D Crawley MD PA
• Patricia D Riley LLC
• Patrick Ters, MD, PA
• Naveed Patrick
• Janise L Patry, LSCSW

• Family Medicine Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.