Provider Demographics
NPI:1457338311
Name:MCCAIG, JOHN K (PA)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:K
Last Name:MCCAIG
Suffix:
Gender:
Credentials:PA
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Mailing Address - Street 1:10100 E SHANNON WOODS CIR STE 100
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-4106
Mailing Address - Country:US
Mailing Address - Phone:316-219-8299
Mailing Address - Fax:833-438-1945
Practice Address - Street 1:10100 E SHANNON WOODS CIR STE 100
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-4106
Practice Address - Country:US
Practice Address - Phone:316-219-8299
Practice Address - Fax:833-438-1945
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2025-04-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS1500857363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSQ13716Medicare UPIN
KS426734Medicare ID - Type Unspecified