Active NPI
Patty L Tenofsky, MD
- Surgery Physician
- Wichita, KS
National Provider Identifier
1992702328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0426594
- Practice address
- 1947 N Founders Cir
Wichita, KS 67206-3548 - Phone
- (316) 613-4047
- NPI assigned
- Jun 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0426594 | KS | Primary |
Addresses
Primary practice location
1947 N Founders Cir
Wichita, KS 67206-3548
Mailing address
PO Box 8035
Wichita, KS 67208-0035
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100368230B | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0426594 | KS | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443052800000",
"number": "1992702328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8035",
"city": "WICHITA",
"state": "KS",
"postal_code": "672080035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1947 N FOUNDERS CIR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672063548",
"telephone_number": "316-613-4047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENOFSKY",
"first_name": "PATTY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-30",
"last_updated": "2015-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KS",
"license": "0426594",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100368230B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.