Organization
MEDICAL ON DEMAND LLC
Active
Other names
Home ER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN GOODEN MD (OWNER)
(316) 871-0995
Entity
Organization
Contact information
Practice address
10346 E STONEGATE LN STE 100, WICHITA, KS 67206-2054
(316) 871-0995
Mailing address
326 N WABASH AVE, WICHITA, KS 67214-3948
(316) 871-0995
(833) 903-3589
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200556580D
—
KS
Enumeration date
01/18/2022
Last updated
03/18/2026
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