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ENNOBLE HC KS II LLC
NPI 1942182845
Family Medicine - Geriatric Medicine in Wichita, KS

Active since July 22, 2025
801 E DOUGLAS AVE FL 2ND, WICHITA, KS 67202(551) 295-8223 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ennoble Hc Ks Ii Llc NPPES

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

ENNOBLE HC KS II LLC (NPI 1942182845) is a healthcare organization registered as a geriatric medicine in Wichita, Kansas and active in the NPI registry since July 2025. The organization maintains 2 additional practice locations and lists Mark Bradshaw, Physician, as its authorized official.

NPPES Registry Identity

NPI1942182845
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameENNOBLE HC KS II LLC
Location Address801 E DOUGLAS AVE FL 2NDWichita, KS 67202-3515
Mailing Address2 University Plz Ste 204Hackensack, NJ 07601-6211 · (551) 295-8223
Phone(551) 295-8223
Organization SubpartNo
Authorized OfficialMark BradshawPhysician · (551) 295-8223
Enumeration DateJuly 22, 2025
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
✔ NPI 1942182845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
801 E DOUGLAS AVE FL 2ND, Wichita, KS 67202
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Secondary Practice Locations 2

Location 1345 N Riverview St Ste 412Wichita, KS 67203-4202 · Phone (316) 616-1055
Location 2117 S Lexington St Ste 100Harrisonville, MO 64701-2444 · Phone (551) 295-8223

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

Other Providers at the Same Location NPPES

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

ENNOBLE HC KS III LLC
Family Medicine (Geriatric Medicine)
801 E DOUGLAS AVE FL 2ND
WICHITA, KS 67202
Sedgwick County (551) 295-8223

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 Ennoble Hc Ks II LLC's NPI number?

The NPI number for Ennoble Hc Ks II LLC is 1942182845. It was assigned to this organization in the NPPES registry on July 22, 2025.

Where is Ennoble Hc Ks II LLC located?

Ennoble Hc Ks II LLC is located at 801 E Douglas Ave Fl 2nd, Wichita, KS 67202. The listed phone number is (551) 295-8223.

What is Ennoble Hc Ks II LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Ennoble Hc Ks II LLC was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.