Ark City Clinic PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ARK CITY CLINIC PA

Practice address

510 W Radio LN
Arkansas City, KS 67005-4011

Phone

(620) 442-2100

Fax

(620) 442-8945

NPI assigned

Jul 24, 2014

Organization subpart

No

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

Authorized official

Name

Michelle Schmitz, PA

Title

PA-C

Phone

(620) 442-2100

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Ark City Clinic P a2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ark City Clinic P a

  • Rural Health Clinic/Center
  • Arkansas City, KS
  • NPI 1588824080
  NPD tax ID

Locations

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1902214760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W RADIO LN",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670054011",
            "telephone_number": "620-442-2100",
            "fax_number": "620-442-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W RADIO LN",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670054011",
            "telephone_number": "620-442-2100",
            "fax_number": "620-442-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARK CITY CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "SCHMITZ",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PA-C",
        "authorized_official_telephone_number": "620-442-2100",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164464525",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100088270A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stewart L Abbey, OD
• Advanced PT, LLC
• Alexander Dixie V
• Ark City Clinic P a
• Ark City Clinic P a
• Ark City Dental
• Ark Valley Physical Therapy, Inc
• Cherie Ann Bahm, APRN FNP-BC
• Virginia Bahruth, P.A.
• Sydney Lynn Baker, DPH

• Family Medicine Physician in Arkansas City, KS
• Providers in Arkansas City, 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 Sep 2, 2014; 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.