Organization
PEDIATRIX MEDICAL GROUP OF KANSAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA BAUTISTA-NAVARRO MD (PRESIDENT)
(800) 243-3839
Entity
Organization
Contact information
Practice address
550 N HILLSIDE AVE, WICHITA, KS 67214-4910
(316) 962-8550
(316) 962-8581
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(954) 384-0175
(954) 851-1948
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100216930A
—
KS
05
—
100216930B
—
KS
05
—
100216930C
—
KS
05
—
100216930D
—
KS
05
—
100216930E
—
KS
05
—
100216930F
—
KS
05
—
149977992
—
AR
Enumeration date
09/17/2006
Last updated
11/05/2024
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