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Active NPI 1902805674 Individual Practitioner Male Practitioner

Dr. John P Smith , DO, FACOS

Surgery • Wichita, KS

Professional Overview & Biography Verified Profile Summary

Dr. John Smith, DO, FACOS is a registered healthcare professional specializing in Surgery in Wichita, KS. Practice services are available at 4013 N RIDGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4013 N Ridge Rd
Ste 210

Wichita, KS 672058860

Telephone 3169457309
Fax 3169459131
Associated Practice Facility / Clinic
🏢 Surgical Specialists Pa Facility NPI 1386613107

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Wichita, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.5 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
110 Specialists

Practicing in Wichita, KS (376 Statewide)

Telehealth Adoption Rate
0.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KS 05-19194

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100189270A (KS)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1356340178

Doctor of Osteopathic Medicine (D.O.)

Jill Smith , APRN

Nurse Practitioner - Family

NPI 1396744116

Advanced Practice Registered Nurse

NPI 1487679759

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 30, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2011

Registered at 4013 N RIDGE RD, STE 210, WICHITA, KS 672058860 (Tel: 3169457309)

📍
Updated Business Mailing Address November 30, 2011

Registered at PO BOX 905, WICHITA, KS 672010905 (Tel: 3169457309)

👤
Provider Name / Credentials Updated November 30, 2011

Recorded as JOHN SMITH, DO, FACOS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2011

Surgery (License #05-19194 in KS)

🟢
Initial NPI Registration & Enumeration July 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902805674
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2005
Last Update: November 30, 2011
Sole Proprietor: No

Mailing Address

Po Box 905

Wichita, KS 672010905

Phone: 3169457309

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.