PRAIRIE CREEK IMAGING LLC
NPI 1245208008
Radiology - Body Imaging in Wichita, KS

Active since March 09, 2006
500 S MAIN ST, WICHITA, KS 67202(316) 262-1103 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Prairie Creek Imaging Llc NPPES

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

PRAIRIE CREEK IMAGING LLC (NPI 1245208008) is a healthcare organization registered as a body imaging in Wichita, Kansas and active in the NPI registry since March 2006. The organization lists Glen Shurtz, President, as its authorized official.

NPPES Registry Identity

NPI1245208008
Entity TypeOrganization
Primary Taxonomy2085B0100X
Legal Business NamePRAIRIE CREEK IMAGING LLC
Location Address500 S MAIN STWichita, KS 67202-3722
Mailing AddressPo Box 2854Wichita, KS 67201-2854 · (316) 685-3698
Organization SubpartNo
Authorized OfficialGlen ShurtzPresident · (316) 262-1103
Enumeration DateMarch 9, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1245208008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Body ImagingAllopathic & Osteopathic Physicians
Taxonomy Code2085B0100X
Definition

A Radiology doctor of Osteopathy that specializes in Body Imaging.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
500 S MAIN ST, Wichita, KS 67202

Other Identifiers 2

OtherDA5653Railroad Medicare
Other110957KS · Bcbs

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 2

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

Clinic/Center
500 S MAIN ST, SUITE B
WICHITA, KS 67202
Clinic/Center (Radiology)
500 S MAIN ST
WICHITA, KS 67202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245208008, enumerated as an "organization" on March 09, 2006.

The provider is located at 500 S MAIN ST WICHITA, KS 67202 and the phone number is (316) 262-1103.

Radiology with taxonomy code 2085B0100X and a focus in Body Imaging.

The provider might be accepting Accepts: Railroad Medicare, Medicare, Medicaid and Blue. Please consult your insurance carrier or call the provider to verify.