Healthcare Provider Details

I. General information

NPI: 1366419574
Provider Name (Legal Business Name): ADVANCED ORTHOPAEDIC ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9828 E SHANNON WOODS CIR # 100
WICHITA KS
67226-4100
US

IV. Provider business mailing address

9828 E SHANNON WOODS CIR # 100
WICHITA KS
67226-4100
US

V. Phone/Fax

Practice location:
  • Phone: 316-631-1600
  • Fax: 316-631-1617
Mailing address:
  • Phone: 316-631-1600
  • Fax: 316-631-1617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: AMANDA ERMEY
Title or Position: EXECUTICE DIRECTOR
Credential:
Phone: 316-631-1628