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DR. JOHN P SMITH DO, FACOS
NPI 1902805674
Surgery in Wichita, KS

Active since July 15, 2005
4013 N RIDGE RD, STE 210, WICHITA, KS 67205(316) 945-7309(316) 945-9131 Get Directions Write a Review

NPPES record last updated: November 30, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John P Smith Do, Facos NPPES

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

DR. JOHN P SMITH DO, FACOS (NPI 1902805674) is an individual surgery provider in Wichita, Kansas, licensed in Kansas (05-19194) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1902805674
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JOHN P SMITHCredential: DO, FACOS
Location Address4013 N RIDGE RD, STE 210Wichita, KS 67205-8860
Mailing AddressPo Box 905Wichita, KS 67201-0905 · (316) 945-7309 · Fax (316) 945-9131
Phone(316) 945-7309
Fax(316) 945-9131
Sole ProprietorNo
Enumeration DateJuly 15, 2005
Last NPPES UpdateNovember 30, 2011
✔ NPI 1902805674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in KS · 05-19194
Definition
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.
4013 N RIDGE RD, Wichita, KS 67205
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Other Identifiers 3

Medicare ID-Type Unspecified41764KS
Medicare UPINE53271KS
Medicaid100189270AKS

Other Providers at the Same Location NPPES 10

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

ERICA C HICKERSON PA-C
Physician Assistant
4013 N RIDGE RD, SUITE 110
WICHITA, KS 67205
Sedgwick County (316) 722-1333
DR. JERRY G GASTON DO
Surgery
4013 N RIDGE RD, STE 210
WICHITA, KS 67205
Sedgwick County (316) 945-7309
MRS. SARA ANN KNIGHT LCSW
Social Worker (Clinical)
4013 N RIDGE RD
WICHITA, KS 67205
Sedgwick County (316) 201-6294
SURGICAL SPECIALISTS PA
Surgery
4013 N RIDGE RD, STE 210
WICHITA, KS 67205
Sedgwick County (316) 945-7309
MRS. JILL M SMITH APRN
Nurse Practitioner (Family)
4013 N RIDGE RD, STE 210
WICHITA, KS 67205
Sedgwick County (316) 945-7309
STEPHEN A. OLSON M.D.
Surgery
4013 N RIDGE RD, STE. 210
WICHITA, KS 67205
Sedgwick County (316) 945-7309
MS. JEANNE LYNN PEARSON APRN
Nurse Practitioner (Acute Care)
4013 N RIDGE RD, SUITE 110
WICHITA, KS 67205
Sedgwick County (316) 722-1333
ALYSSA VONAGHER LMSW
Social Worker
4013 N RIDGE RD
WICHITA, KS 67205
Sedgwick County (316) 945-5200

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 John Smith's NPI number?

The NPI number for John Smith is 1902805674. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Where is John Smith located?

John Smith practices at 4013 N Ridge Rd Ste 210, Wichita, KS 67205. The listed phone number is (316) 945-7309.

What is John Smith's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for John Smith was last updated on November 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.