Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Centerwell Senior Primary Care Ks PA

Organization Family Medicine Physician · NPI 1215757778

Centerwell Senior Primary Care Ks PA is a Family Medicine Physician in Wichita, Kansas. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2402 E 13th St N
Wichita, KS 67214-2102
Phone: (316) 867-6444
Fax: (316) 867-6443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
General Practice Physician Taxonomy 208D00000X
Non-Pharmacy Dispensing Site Taxonomy 332900000X

Record details

NPI number1215757778
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCenterwell Senior Primary Care Ks PA
Authorized official Angie Martinez — Senior Credentialing Professional · (407) 447-7120
Other names Centerwell Senior Primary Care Ks Pa - E 13th Street; Centerwell Senior Primary Care Ks Pa - E 13th Street
NPI enumeratedOctober 10, 2024
Last updated in NPPESJanuary 24, 2025
Certification dateJanuary 24, 2025
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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