Active NPI
Family Health Center
- Specialist
- Derby, KS
National Provider Identifier
1962558395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0417161
- Legal business name
- FAMILY HEALTH CENTER
- Practice address
- 1410 N Woodlawn Blvd
Suite a
Derby, KS 67037-2922 - Phone
- (316) 788-3741
- NPI assigned
- Jan 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Neil Vinzant, M.D.
- Title
- Medical Director
- Phone
- (316) 788-3741
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0417161 | KS | Primary |
Addresses
Primary practice location
1410 N Woodlawn Blvd
Suite a
Derby, KS 67037-2922
Mailing address
1410 N Woodlawn Blvd
Suite a
Derby, KS 67037-2922
Phone (316) 788-3741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016429 | Other | KS | MEDICARE GROUP # |
National Provider Directory
National Provider DirectoryLocations
1410 N Woodlawn Blvd
Ste A
Derby, KS 67037
Phone (316) 788-3741
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Newton, KS
- NPI 1235242298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205971200000",
"number": "1962558395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 N WOODLAWN BLVD",
"address_2": "SUITE A",
"city": "DERBY",
"state": "KS",
"postal_code": "670372922",
"telephone_number": "316-788-3741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 N WOODLAWN BLVD",
"address_2": "SUITE A",
"city": "DERBY",
"state": "KS",
"postal_code": "670372922",
"telephone_number": "316-788-3741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-26",
"last_updated": "2008-03-20",
"status": "A",
"authorized_official_last_name": "VINZANT",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "NEIL",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "316-788-3741",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "KS",
"license": "0417161",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "016429",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Derby, KS
- Expressive Behavior Therapy
- Eye to Eye PA
- Eye to Eye PA
- Indy Marie Fairbanks
- Lori E Falcone, APRN
- Family Medcenters, P.a. (FMC Diagnostic Center)
- Family Medcenters, P.a. (Derby Ambulatory Surgery Center)
- Family Medcenters, P.a.
- Family Medcenters, P.a.
- Family Medcenters, P.a. (Derby Family MedCenter)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.