Mobile Doctors of Kansas

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MOBILE DOCTORS OF KANSAS

Practice address

933 N Topeka St
Wichita, KS 67214-3620

Phone

(316) 648-1157

Fax

(866) 316-4467

NPI assigned

Feb 11, 2020

Last updated

Feb 11, 2020By 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

Cynthia Glasscock

Title

Credentialing

Phone

(316) 648-1157

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1881226470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 N TOPEKA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143620",
            "telephone_number": "316-648-1157",
            "fax_number": "866-316-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 N TOPEKA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143620",
            "telephone_number": "316-648-1157",
            "fax_number": "866-316-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DOCTORS OF KANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "GLASSCOCK",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "316-648-1157"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Mitchell Sr.
• Larry David Mitnaul Jr., M.D., M.P.H., M.S.
• Natalie Mizell, M.S. CCC-SLP
• MJM Kansas Internal Medicine, P.a.
• MKC Counseling, LLC
• Mobile Medical II, LLC
• Mobile Medical, LLC
• Mobile OT LLC
• Mobile Wound Care L.L.C.
• Mobileyes Optometry LLC (Mobileyes Optometry)

• 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 Feb 11, 2020; 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.