PREMIER PHYSICAL MEDICINE
NPI 1578847182
Physician Assistant - Medical in Wichita, KS

NPI Status: Active since September 30, 2011

Contact Information

6224 EAST SHADYBROOK ST.
WICHITA, KS
ZIP 67208
Phone: (316) 682-7246
Fax: (316) 683-9500

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  • Organization
  • Physician Assistant
  • Medical

About PREMIER PHYSICAL MEDICINE

This page provides the complete NPI Profile along with additional information for Premier Physical Medicine, a primary care provider established in Wichita, Kansas operating as a Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1578847182 assigned on September 2011. The practitioner's primary taxonomy code is 363AM0700X with license number 15-00952 (KS). The provider is registered as an organization and their NPI record was last updated 11 years ago. Premier Physical Medicine operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Premier Physical Medicine. The authorized official of this NPI record is Dr. Tanner Hancock D.c. (Owner)

NPI
1578847182
Provider Legal Name
WELLNESS STRATEGIES LLC
Other Organization Name
PREMIER PHYSICAL MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6224 EAST SHADYBROOK ST. WICHITA, KS 67208
Location Phone
(316) 682-7246
Location Fax
(316) 683-9500
Mailing Address
6224 EAST SHADYBROOK ST. WICHITA, KS 67208
Mailing Phone
(316) 682-7246
Mailing Fax
(316) 683-9500
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-30-2011
Last Update Date
10-23-2014
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A primary care provider (PCP) like Premier Physical Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
15-00952
License State
KS

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TANNER HANCOCK D.C.

Authorized Official Title
OWNER
Authorized Official Phone
(316) 683-9500

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
6628290001MEDICARE NSC (07)KS 
682302MEDICARE UPIN (02)KS 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1578847182
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2514816414116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 1 + 6 + 4 + 1 + 4 + 1 + 1 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1578847182 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578847182, enumerated in the NPI registry as an "organization" on September 30, 2011

The provider is located at 6224 East Shadybrook St. Wichita, Ks 67208 and the phone number is (316) 682-7246

This medical organization specializes in Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 30, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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