VEIN CLINIC OF GREATER KANSAS CITY P.A. NPI 1275611444

NPI Information

NPI: 1275611444
Provider Name: VEIN CLINIC OF GREATER KANSAS CITY, P.A.
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
4400 W 109TH ST STE 150
OVERLAND PARK, KS
ZIP 66211
Phone: (913) 541-3377
Get Directions

VEIN CLINIC OF GREATER KANSAS CITY, P.A. is a vascular surgery surgery in Overland Park, KS. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. VEIN CLINIC OF GREATER KANSAS CITY, P.A. NPI is 1275611444. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4400 W 109TH ST STE 150
OVERLAND PARK, KS
ZIP 66211-319
Phone: (913) 541-3377
Fax: (913) 541-8082

The provider's authorized official is Daphene R Roorda .
The authorized official title is Office Mnager and has the following contact phone number (913) 541-3377.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 12/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		0418701	KANSAS	No
2	208600000X	Surgery		0418958	KANSAS	No
3	2086S0129X	Surgery	Vascular Surgery			Yes
4	2471S1302X	Radiologic Technologist	Sonography	72262		No
5	2471V0105X	Radiologic Technologist	Vascular Sonography	72262		No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	45750	OTHER	KANSAS	STATE LICENSE ARNP
2	08561018	OTHER	MISSOURI	BLUE CROSS BLUE SHIELD GR
3	434308	OTHER		AETNA PPO
4	KS0418701	OTHER	KANSAS	STATE LICENSE
5	65228	OTHER	KANSAS	BLUE CROSS BLUE SHIELD
6	766289	OTHER		HUMANA
7	844398	OTHER		AENTA HMO
8	09280021	OTHER	MISSOURI	BLUE CROSS BLUE SHIELD
9	09509075	OTHER	KANSAS	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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