MEDICARE: DR. PAUL C PAPPADEMOS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	04-29323	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013984699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL C PAPPADEMOS MD

Provider Business Mailing Address
First Line	:	9828 E SHANNON WOODS CIR # 100
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67226-4100
Country	:	US
Telephone Number	:	316-631-1600
Fax Number	:	316-631-1617

Provider Business Practice Location Address
First Line	:	9828 E SHANNON WOODS CIR # 100
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67226-4100
Country	:	US
Telephone Number	:	316-631-1600
Fax Number	:	316-631-1617

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2006
Last Update Date	:	03/17/2026

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Directions to “ DR. PAUL C PAPPADEMOS MD” Practice Location

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