G Andrew McNickle, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04-16812 Issued in KS

Practice address

1131 S Clifton Ave
Suite B
Wichita, KS 67218-2955

Phone

(316) 462-1040

Fax

(316) 462-1042

NPI assigned

Jun 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ashland District Hospital

  • Clinic/Center
  • Ashland, KS
  • NPI 1073686002
  NPD
• Ashland District Hospital

  • Critical Access Hospital
  • Ashland, KS
  • NPI 1265529614
  NPD (past)
• Comanche County Hospital

  • Clinic/Center
  • Coldwater, KS
  • NPI 1891710703
  NPD (past)
• Midland Care Physician Services LLC

  • Multi-Specialty Clinic/Center
  • Topeka, KS
  • NPI 1194448548
  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1972548733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 S CLIFTON AVE",
            "address_2": "SUITE B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182955",
            "telephone_number": "316-462-1040",
            "fax_number": "316-462-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 S CLIFTON AVE",
            "address_2": "SUITE B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182955",
            "telephone_number": "316-462-1040",
            "fax_number": "316-462-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNICKLE",
        "first_name": "G",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-16812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Michael McNeil, PHARM. D.
• Bryon K McNeil, MD
• Julie A McNeil, PHARM.D.
• Larry K. McNeil, D.P.M.
• Alex S McNew, PTA
• Nathan R McNiel, CRNA
• Kenneth McNutt, LSCSW
• Cayden McPhail
• Jeffrey McPherson, MD
• Kortezia McPherson

• Family Medicine Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.