Eastside Medical Consultants LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EASTSIDE MEDICAL CONSULTANTS LLC

Practice address

105 S Broadway St
Suite 730
Wichita, KS 67202-4227

Phone

(316) 393-9933

NPI assigned

Aug 30, 2006

Last updated

Oct 3, 2013By 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

Dr. Reinaldo Ernesto Mijares, MDNPI 1750490694

Title

President

Phone

(316) 393-9933

Specialties & licenses 1

Addresses

Other names 1

• Mijares Reinaldo Other name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Reinaldo Ernesto Mijares, M.D.

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1750490694
  Authorized official Same address or phone
• Holley Christine Million, P.A.

  • Medical Physician Assistant
  • Wichita, KS
  • NPI 1437490034
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1932218880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S BROADWAY ST",
            "address_2": "SUITE 730",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672024227",
            "telephone_number": "316-393-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S BROADWAY ST",
            "address_2": "SUITE 730",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672024227",
            "telephone_number": "316-393-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE MEDICAL CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "MIJARES",
        "authorized_official_first_name": "REINALDO",
        "authorized_official_middle_name": "ERNESTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-393-9933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mijares Reinaldo",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shawnie Genae East
• Michael R. Easter, PA-C
• Anthony Easterday
• Kim L Eastes, D.C.
• Ashley A Eastman, NP
• Eat Play Communicate, LLC
• Christopher A Ebberwein, PH.D.
• Katelyn Marie Ebberwein, OD
• Laurie Ebenkamp, RPT
• Isabelle Eberle, PTA

• Internal Medicine Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Internal Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.