MEDICARE: MID-AMERICA ORTHOPEDICS LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1386961688
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MID-AMERICA ORTHOPEDICS LLC

Provider Business Mailing Address
First Line	:	1923 N WEBB RD
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67206-3405
Country	:	US
Telephone Number	:	316-630-9300
Fax Number	:	316-858-3201

Provider Business Practice Location Address
First Line	:	1824 E JAMES ST
Second Line	:
City	:	DERBY
State	:	KS
Zip	:	67037-8634
Country	:	US
Telephone Number	:	316-978-9000
Fax Number	:	316-978-9001

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PAT DO
Credential	:	MD
Telephone Number	:	316-262-4886

Provider Enumeration Date	:	04/26/2010
Last Update Date	:	03/17/2026

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