Active NPI
Long Term Care Specialists
- Family Medicine Physician
- Wellington, KS
National Provider Identifier
1891069647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0524781
- Legal business name
- LONG TERM CARE SPECIALISTS
- Practice address
- 1323 N a St
Wellington, KS 67152-4350 - Phone
- (620) 440-8121
- Fax
- (620) 359-1201
- NPI assigned
- Feb 25, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tamara Lynne McCue, D.O.
- Title
- Owner/Physician
- Phone
- (620) 326-0251
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0524781 | KS | Primary |
Addresses
Primary practice location
1323 N a St
Wellington, KS 67152-4350
Mailing address
PO Box 755
Wellington, KS 67152-0755
Phone (620) 440-8121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100233060J | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2119 N Broadmoor St
Wichita, KS 67206
Phone (316) 247-6478
1320 Wheat Rd
Winfield, KS 67156
Phone (620) 221-4600
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Wellington, KS
- NPI 1457339137
-
- Nurse Practitioner
- Wichita, KS
- NPI 1689869505
-
- Family Nurse Practitioner
- Wellington, KS
- NPI 1437658101
-
- Physician Assistant
- Wichita, KS
- NPI 1851595201
-
- Physician Assistant
- Wichita, KS
- NPI 1992084420
-
- Psychiatry Physician
- Wellington, KS
- NPI 1851352470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371600000000",
"number": "1891069647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 755",
"city": "WELLINGTON",
"state": "KS",
"postal_code": "671520755",
"telephone_number": "620-440-8121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1323 N A ST",
"city": "WELLINGTON",
"state": "KS",
"postal_code": "671524350",
"telephone_number": "620-440-8121",
"fax_number": "620-359-1201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONG TERM CARE SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-25",
"last_updated": "2013-06-19",
"status": "A",
"authorized_official_last_name": "MCCUE",
"authorized_official_first_name": "TAMARA",
"authorized_official_middle_name": "LYNNE",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "620-326-0251",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "KS",
"license": "0524781",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100233060J",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.