Ascension Via Christi Concierge Care Inc

Key facts

NPI: 1952864589
Entity type: Organization (NPI type 2)
Primary specialty: Family Medicine Physician 207Q00000X
Legal business name: ASCENSION VIA CHRISTI CONCIERGE CARE INC
Practice address: 4815 E 31St St South
Wichita, KS 67210
Phone: (316) 613-5800
NPI assigned: Apr 10, 2019
Organization subpart: Yes
Parent organization (as reported): ASCENSION VIA CHRISTI HOSPITALS WICHITA INC.

Authorized official

Name: Ann Buess
Title: Cfo
Phone: (316) 268-8160

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Jennifer Callison, DO Family Medicine Physician · Wichita, KS · NPI 1316383771

NPD FAMILY MEDICINE

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
17D2165610	Ascension Via Christi Concierge Care 4815 E 31St South, Wichita, KS 67210	Certificate of waiver	Apr 30, 2027

National Provider Directory

Part of: Via Christi Reg Me VCRM

Locations

4815 E 31st St S
Wichita, KS 67210
Phone (316) 613-5800

14700 W Saint Teresa St
Ste 290
Wichita, KS 67235
Phone (316) 274-5800

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician Group: 193400000X SINGLE SPECIALTY GROUP	207Q00000X			Yes

Addresses

Primary practice location

4815 E 31St St South
Wichita, KS 67210

Mailing address

4815 E 31St St South
Wichita, KS 67210
Phone (316) 613-5800

Other practice location 1

14700 W Saint Teresa St Ste 290
Wichita, KS 67235-9601
Phone (316) 274-5800

Other identifiers

Identifier	Type	State	Issuer
AETNA	Other		AETNA

Other providers in Wichita, KS

All providers in Wichita, KS · Family Medicine Physician in Kansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.