Organization Active NPI

Long Term Care Specialists

  • Family Medicine Physician
  • Wellington, KS
National Provider Identifier
1891069647
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0524781 Issued in KS
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

Updated by the provider on Jun 19, 2013

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.NPI 1457339137
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
100233060JMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120330000613 KS Part B Supplier - Clinic/Group Practice 3577723386 Receives reassigned benefits from 5 practitioners
Practice locations: Wichita, KS; Winfield, KS; Andover, KS; Wellington, KS; Arkansas City, KS; Augusta, KS; Bel Aire, KS; Conway Springs, KS…

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.