Healthcare Provider Details

I. General information

NPI: 1831183516
Provider Name (Legal Business Name): WINFIELD MEDICAL ARTS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2005
Last Update Date: 07/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3625 QUAIL RIDGE RD
WINFIELD KS
67156-8881
US

IV. Provider business mailing address

3625 QUAIL RIDGE RD
WINFIELD KS
67156-8881
US

V. Phone/Fax

Practice location:
  • Phone: 620-221-6100
  • Fax: 620-221-7680
Mailing address:
  • Phone: 620-221-6100
  • Fax: 620-221-7680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number04-19713
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number04-16859
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number04-15589
License Number StateKS
# 4
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number04-17394
License Number StateKS
# 5
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number04-16859
License Number StateKS
# 6
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number04-17394
License Number StateKS
# 7
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1500707
License Number StateKS
# 8
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number1500707
License Number StateKS

VIII. Authorized Official

Name: KRIS FRAHM
Title or Position: CLINIC MANAGER
Credential: R.N., B.S.N.
Phone: 620-221-9000