MEDICARE: DONNA J FLEMMING MD

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	207Q00000X	Family Medicine Physician	25909	KS
2	207QG0300X	Geriatric Medicine (Family Medicine) Physician	04-25909	KS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	058550	OTHER		MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518902279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA J FLEMMING MD

Provider Business Mailing Address
First Line	:	1010 N KANSAS ST
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67214-3124
Country	:	US
Telephone Number	:	316-293-2607
Fax Number	:	316-293-2696

Provider Business Practice Location Address
First Line	:	1010 N KANSAS ST
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67214-3124
Country	:	US
Telephone Number	:	316-293-2611
Fax Number	:	316-293-1882

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	12/10/2025

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Directions to “ DONNA J FLEMMING MD” Practice Location

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