Peg Bicker MD, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

04-36042 Issued in KS

Legal business name

PEG BICKER MD, LLC

Practice address

1035 N Emporia St
Suite 220
Wichita, KS 67214-2944

Phone

(316) 268-6075

Fax

(316) 291-7977

NPI assigned

Jun 3, 2013

Last updated

Mar 12, 2014By 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

Peg Bicker, MD

Title

Owner

Phone

(316) 268-6075

Specialties & licenses 1

Addresses

Locations

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.

• Stacey Anna Nicholson, MD

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1710108774
  NPD (past)
• Dean I Youngberg, MD

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1295725489
  NPD (past)

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1952748774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 N EMPORIA ST",
            "address_2": "SUITE 220",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142944",
            "telephone_number": "316-268-6075",
            "fax_number": "316-291-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 N EMPORIA ST",
            "address_2": "SUITE 220",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142944",
            "telephone_number": "316-268-6075",
            "fax_number": "316-291-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEG BICKER MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "BICKER",
        "authorized_official_first_name": "PEG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-268-6075",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-36042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peerconnect at Ict
• Peers With Purpose LLC
• William H Peery, M.D.
• Clayton Peet, LSCSW, LCSW
• Jessica D Peffer, OTA
• Terra Peintner
• Timothy Peintner, DPT
• Lawrence L Pelletier, MD
• Annalee Pellicotte
• Kristen A Peltzer

• 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 Mar 12, 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.