MJM KANSAS INTERNAL MEDICINE, P.A. – NPI #1720655012
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

MJM KANSAS INTERNAL MEDICINE, P.A. is a provider located in WICHITA, KS. NPPES has assigned the NPI number 1720655012 to MJM KANSAS INTERNAL MEDICINE, P.A. on June 07, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 5 years ago on Sep 30, 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 MJM KANSAS INTERNAL MEDICINE, P.A. below.

NPI Profile for
MJM KANSAS INTERNAL MEDICINE, P.A.

NPI Number
1720655012
Enumeration Date

(about 5 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
MJM KANSAS INTERNAL MEDICINE, P.A.
Primary location
3161 N WEBB RD
WICHITA, KS 67226-8104
Phone: (316) 669-0777 Fax: (316) 669-0009
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BETH HORVATICH
DIRECTOR OF OPERATIONS
Phone: (402) 614-4969
Updated
Certification Date
Sep 30, 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.

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
208D00000X
- General Practice (Primary)

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.