Basic Information
Provider Information
NPI: 1902193493
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BIGGS
FirstName: ANDREW
MiddleName: JAMES
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 5183
Address2:  
City: DENVER
State: CO
PostalCode: 802175183
CountryCode: US
TelephoneNumber: 3033067783
FaxNumber: 3033067753
Practice Location
Address1: 550 N HILLSIDE ST
Address2:  
City: WICHITA
State: KS
PostalCode: 672144910
CountryCode: US
TelephoneNumber: 3169622000
FaxNumber: 3033067753
Other Information
ProviderEnumerationDate: 07/05/2011
LastUpdateDate: 06/29/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X0536037KSN Allopathic & Osteopathic PhysiciansHospitalist 
207R00000X05-36037KSY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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