MEDICARE: VYE HEALTH MEDICAL GROUP MIDWEST PA

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1831029826
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VYE HEALTH MEDICAL GROUP MIDWEST PA

Provider Business Mailing Address
First Line	:	4601 E DOUGLAS AVE STE 150
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67218-1011
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4601 E DOUGLAS AVE STE 150
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67218-1011
Country	:	US
Telephone Number	:	415-340-0127
Fax Number	:

Authorized Official
Title or Position	:	OPERATIONS ADMINISTRATOR
Name	:	MATT VAIL
Credential	:
Telephone Number	:	415-340-0127

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

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