Individual
DR. JARED LORAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
961 S GLENDALE ST, WICHITA, KS 67218-3210
(316) 618-9555
Mailing address
961 S GLENDALE ST, WICHITA, KS 67218-3210
(316) 618-9555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-33458
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003719183
MEDICARE
—
05
—
200630640F
—
KS
Enumeration date
06/18/2007
Last updated
02/13/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us