Active NPI
Wheatland Medical Clinic PA
- Family Medicine Physician
- Wichita, KS
National Provider Identifier
1891749024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WHEATLAND MEDICAL CLINIC PA
- Practice address
- 5735 W Macarthur Rd
Wichita, KS 67215-8404 - Phone
- (316) 524-9400
- Fax
- (316) 524-9800
- NPI assigned
- May 20, 2006
- 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
- Diana K Ketterman, MD
- Title
- President
- Phone
- (316) 524-9400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | KS | Primary |
Addresses
Primary practice location
5735 W Macarthur Rd
Wichita, KS 67215-8404
Mailing address
5735 W Macarthur Rd
Wichita, KS 67215-8404
Phone (316) 524-9400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110692 | Other | KS | BC/BS |
National Provider Directory
National Provider DirectoryLocations
5735 W MacArthur Rd
Wichita, KS 67215
Phone (316) 524-9400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Wichita, KS
- NPI 1801859582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269302400000",
"number": "1891749024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5735 W MACARTHUR RD",
"city": "WICHITA",
"state": "KS",
"postal_code": "672158404",
"telephone_number": "316-524-9400",
"fax_number": "316-524-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5735 W MACARTHUR RD",
"city": "WICHITA",
"state": "KS",
"postal_code": "672158404",
"telephone_number": "316-524-9400",
"fax_number": "316-524-9800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHEATLAND MEDICAL CLINIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-20",
"last_updated": "2010-03-23",
"status": "A",
"authorized_official_last_name": "KETTERMAN",
"authorized_official_first_name": "DIANA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "316-524-9400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "KS",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "110692",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.