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ANTIOCH MED
NPI 1629895008
Family Medicine in Wichita, KS

Active since September 25, 2024CLIA 17D2110681 · Waiver
1126 S CLIFTON AVE, WICHITA, KS 67218(316) 350-8008(316) 350-8020 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antioch Med NPPES

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

ANTIOCH MED (NPI 1629895008) is a healthcare organization registered as a family medicine in Wichita, Kansas and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through March 21, 2028 and lists Brandon Alleman, Owner, as its authorized official.

NPPES Registry Identity

NPI1629895008
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameANTIOCH MED
Location Address1126 S CLIFTON AVEWichita, KS 67218-2913
Mailing Address1126 S Clifton AveWichita, KS 67218-2913 · (316) 350-8008 · Fax (316) 350-8020
Phone(316) 350-8008
Fax(316) 350-8020
Organization SubpartNo
Authorized OfficialBrandon AllemanOwner · (316) 350-8008
Enumeration DateSeptember 25, 2024
NPPES CertifiedSeptember 25, 2024
✔ NPI 1629895008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1126 S CLIFTON AVE, Wichita, KS 67218
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D2110681

Antioch Med LLC · Wichita, KS
Active · expires Mar 21, 2028
CLIA Number17D2110681
Laboratory TypePhysician Office
Certificate Effective DateMarch 22, 2026
Certificate Expiration DateMarch 21, 2028
Laboratory DirectorBrandon Alleman
Laboratory Phone(316) 350-8008
Laboratory LocationAntioch Med LLC1126 S Clifton Avenue, Wichita, KS 67218
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

BRANDON WESLEY ALLEMAN MD
Family Medicine
1126 S CLIFTON AVE
WICHITA, KS 67218
Sedgwick County (316) 350-8008
SCOTT COOPER MD
Family Medicine
1126 S CLIFTON AVE
WICHITA, KS 67218
Sedgwick County (316) 350-8008
JUSTIN REISWIG
Family Medicine
1126 S CLIFTON AVE
WICHITA, KS 67218
Sedgwick County (316) 350-8008
MRS. KELLY J MOORE LSCSW, LAC
Social Worker (Clinical)
1126 S CLIFTON AVE
WICHITA, KS 67218
Sedgwick County (316) 208-5220
NICHOLAS ANDREW TOMSEN MD
Family Medicine
1126 S CLIFTON AVE
WICHITA, KS 67218
Sedgwick County (316) 350-8008

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 Antioch Med's NPI number?

The NPI number for Antioch Med is 1629895008. It was assigned to this organization in the NPPES registry on September 25, 2024.

Where is Antioch Med located?

Antioch Med is located at 1126 S Clifton Ave, Wichita, KS 67218. The listed phone number is (316) 350-8008.

What is Antioch Med's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Antioch Med hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2110681) is associated with this NPI, valid through March 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Antioch Med was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.