WICHITA MEDICAL ASSOCIATES, PA – NPI #1396796991
Internal Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

WICHITA MEDICAL ASSOCIATES, PA is a provider located in WICHITA, KS. NPPES has assigned the NPI number 1396796991 to WICHITA MEDICAL ASSOCIATES, PA on May 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 5 years ago on Oct 01, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WICHITA MEDICAL ASSOCIATES, PA below.

NPI Profile for
WICHITA MEDICAL ASSOCIATES, PA

NPI Number
1396796991
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WICHITA MEDICAL ASSOCIATES, PA
Primary location
347 S LAURA ST
WICHITA, KS 67211
Phone: (316) 686-7117 Fax: (316) 686-2679
Mailing address
347 S. LAURA ST.
WICHITA, KS 67211-1518
Phone: (316) 686-7117 Fax: (316) 686-2679
Organization Subpart
No
Authorized Official
KAREN HERNANDEZ
PRACTICE MANAGER
Phone: (316) 686-7117
Updated
Certification Date
Oct 01, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for WICHITA MEDICAL ASSOCIATES, PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS OF KANSASKS016291
OTHERRAILROAD MEDICAREKSCN3326
MEDICAIDKS100004190A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)
KS 19204
363LG0600X
- Nurse Practitioner / Gerontology
KS 74898

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.