Healthcare Provider Details

I. General information

NPI: 1265414890
Provider Name (Legal Business Name): JOHN R SCHURMAN II M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 05/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2778 N WEBB RD
WICHITA KS
67226-8112
US

IV. Provider business mailing address

2778 N WEBB RD
WICHITA KS
67226-8112
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 Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number0427888
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number04-27888
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: