Midwestern Endocrinology, P.A. in Overland Park - Specialist
Midwestern Endocrinology, P.A. - NPI 1114074630
Midwestern Endocrinology, P.A. is a Specialist in Overland Park, Kansas. Midwestern Endocrinology, P.A. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Midwestern Endocrinology, P.A. is 1114074630. The last update date is 2011-05-10.
Midwestern Endocrinology, P.A.'s current location address is 5401 College Blvd, Overland Park, Kansas. You can contact this provider via phone number 9134519888 and fax number 9134512651. The mailing address for Midwestern Endocrinology, P.A. is 5401 College Blvd, Overland Park, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Midwestern Endocrinology, P.A. |
|---|---|
| Address | 5401 College Blvd, Overland Park, Kansas |
| Phone Number | 9134519888 |
| Fax Number | 9134512651 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Green J Andrew |
| Credentials | M.D. |
| Telephone Number | 9134519888 |
NPI Number Detail
| NPI Number | 1114074630 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2011-05-10 |
Provider Mailing Address Detail
| Address | 5401 College Blvd |
|---|---|
| City | Overland Park |
| State | Kansas (KS) |
| Post Code | 662111923 |
| Phone Number | 9134519888 |
| Fax Number | 9134512651 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 497142 | KS | BLUE CROSS BLUE SHIELD | |
| CS4205 | KS | RALROAD MEDICARE |
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What is the Midwestern Endocrinology, P.A.'s 1114074630?
The Midwestern Endocrinology, P.A.'s NPI (National Provider Identifier) Number is 1114074630. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Midwestern Endocrinology, P.A.?
The Midwestern Endocrinology, P.A. is situated at 5401 College Blvd, in the city of Overland Park, state of KS, with the zip code 662111923.
What is Midwestern Endocrinology, P.A.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Midwestern Endocrinology, P.A.'s area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
When was the Midwestern Endocrinology, P.A.'s 1114074630 issued?
The Midwestern Endocrinology, P.A.'s 1114074630 was issued on 2007-01-05.
As of what date were the Midwestern Endocrinology, P.A.'s details last updated?
The information pertaining to the Midwestern Endocrinology, P.A., including its address, specialty, and other details, was most recently updated on 2011-05-10.
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