NPIMap

Organization Active NPI

Medical Consultants of Pittsburg, Inc.

  • Internal Medicine Physician
  • Frontenac, KS
National Provider Identifier
1942380100
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
05-25406 Issued in KS
Legal business name
MEDICAL CONSULTANTS OF PITTSBURG, INC.
Practice address
608 Willard
Frontenac, KS 66763-2120
Phone
(620) 231-8849
Fax
(620) 231-8847
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Authorized official

Name
Rebecca Light
Title
Administrator
Phone
(620) 231-3000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 05-25406 KS Primary
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X 45744 KS
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X 45744 KS

Addresses

Primary practice location

608 Willard
Frontenac, KS 66763-2120

Mailing address

PO Box 1023
Frontenac, KS 66763-1023
Phone (620) 231-8849

Other identifiers 3

IdentifierTypeStateIssuer
110994OtherKSMEDICARE
DA9115OtherKSGRP RR MEDICARE
110994OtherKSGROUP BCBS

National Provider Directory

National Provider Directory

Locations

2520 S Rouse St
Pittsburg, KS 66762
Phone (620) 231-0300

Practitioners & affiliated clinicians

Practitioners 3

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": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1942380100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1023",
            "city": "FRONTENAC",
            "state": "KS",
            "postal_code": "667631023",
            "telephone_number": "620-231-8849",
            "fax_number": "620-231-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 WILLARD",
            "city": "FRONTENAC",
            "state": "KS",
            "postal_code": "667632120",
            "telephone_number": "620-231-8849",
            "fax_number": "620-231-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CONSULTANTS OF PITTSBURG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "LIGHT",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "620-231-3000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "05-25406",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "45744",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45744",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "110994",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP RR MEDICARE",
            "identifier": "DA9115",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS",
            "identifier": "110994",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frontenac, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.