Healthcare Provider Details

I. General information

NPI: 1346347051
Provider Name (Legal Business Name): PEDIATRIX MEDICAL GROUP OF KANSAS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2006
Last Update Date: 11/05/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 N HILLSIDE AVE
WICHITA KS
67214-4910
US

IV. Provider business mailing address

1301 CONCORD TER
SUNRISE FL
33323-2843
US

V. Phone/Fax

Practice location:
  • Phone: 316-962-8550
  • Fax: 316-962-8581
Mailing address:
  • Phone: 954-384-0175
  • Fax: 954-851-1948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARIA BAUTISTA-NAVARRO
Title or Position: PRESIDENT
Credential: MD
Phone: 800-243-3839