FREESTATE
NPI 1013441930
Clinic/Center - Multi-Specialty in Wichita, KS

Active since April 18, 2017
4723 E DOUGLAS AVE, WICHITA, KS 67218(888) 505-1776(888) 505-1776 Get Directions Write a Review

NPPES record last updated: April 18, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Freestate NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREESTATE (NPI 1013441930) is a healthcare organization registered as a multi-specialty in Wichita, Kansas and active in the NPI registry since April 2017. The organization lists Elisha Yaghmai, President, as its authorized official.

NPPES Registry Identity

NPI1013441930
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameFREESTATE HEALTH PLLC
Location Address4723 E DOUGLAS AVEWichita, KS 67218-1012
Mailing Address4723 E Douglas AveWichita, KS 67218-1012 · (888) 505-1776 · Fax (888) 505-1776
Fax(888) 505-1776
Organization SubpartNo
Authorized OfficialElisha YaghmaiPresident · (888) 505-1776
Enumeration DateApril 18, 2017
NPI 1013441930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License Licensed in KS · 04-33447
Also ListedInternal MedicineTaxonomy 207R00000X · License 04-33447 (KS)
Also ListedPediatricsTaxonomy 208000000X · License 04-33447 (KS)
4723 E DOUGLAS AVE, Wichita, KS 67218

Other Names 1

Doing Business AsFreestate

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
4723 E DOUGLAS AVE
WICHITA, KS 67218
Nurse Practitioner (Family)
4723 E DOUGLAS AVE
WICHITA, KS 67218
Internal Medicine
4723 E DOUGLAS AVE
WICHITA, KS 67218
Allergy & Immunology (Allergy)
4723 E DOUGLAS AVE
WICHITA, KS 67218
Internal Medicine
4723 E DOUGLAS AVE
WICHITA, KS 67218
Durable Medical Equipment & Medical Supplies
4723 E DOUGLAS AVE
WICHITA, KS 67218
Psychiatry & Neurology (Psychiatry)
4723 E DOUGLAS AVE
WICHITA, KS 67218
Internal Medicine
4723 E DOUGLAS AVE
WICHITA, KS 67218

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Freestate Health PLLC's NPI number?

The NPI number for Freestate Health PLLC is 1013441930. It was assigned to this organization in the NPPES registry on April 18, 2017. The provider is doing business as Freestate.

Where is Freestate Health PLLC located?

Freestate Health PLLC is located at 4723 E Douglas Ave, Wichita, KS 67218. The listed phone number is (888) 505-1776.

What is Freestate Health PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Freestate Health PLLC was last updated on April 18, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.