Individual provider Active NPI

Pastor Ruiz Causin Jr., M.D.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Wichita, KS
National Provider Identifier
1942302625
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
04-29554 Issued in KS
Practice address
3223 N Webb Rd
Suite 5
Wichita, KS 67226-8175
Phone
(316) 609-3020
Fax
(316) 609-3070
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 04-29554 KS Primary

Addresses

Primary practice location

3223 N Webb Rd
Suite 5
Wichita, KS 67226-8175

Mailing address

5051 E Lincoln St
10-A
Wichita, KS 67218-2416
Phone (316) 683-8849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-29554KSMDSports Medicine (Neuromusculoskeletal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pastor R Causin Jr. M.D., L.L.C. Neuromusculoskeletal Medicine, Sports Medicine PastSince Oct 1, 2005 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1942302625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5051 E LINCOLN ST",
            "address_2": "10-A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182416",
            "telephone_number": "316-683-8849",
            "fax_number": "316-260-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 N WEBB RD",
            "address_2": "SUITE 5",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268175",
            "telephone_number": "316-609-3020",
            "fax_number": "316-609-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUSIN",
        "first_name": "PASTOR",
        "middle_name": "RUIZ",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "KS",
            "license": "04-29554",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 11, 2008; 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.