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DERMATOLOGY CONSULTANTS MIDWEST P.A. NPI 1497768774


NPI Information

NPI: 1497768774
Provider Name: DERMATOLOGY CONSULTANTS MIDWEST P.A.
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 17D0449461

Address:
10777 NALL AVE STE 220
OVERLAND PARK, KS
ZIP 66211
Phone: (913) 469-0110
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DERMATOLOGY CONSULTANTS MIDWEST P.A. is a specialist in Overland Park, KS. The provider is 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. DERMATOLOGY CONSULTANTS MIDWEST P.A. NPI is 1497768774. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10777 NALL AVE STE 220
OVERLAND PARK, KS
ZIP 66211-231
Phone: (913) 469-0110
Fax: (913) 469-6579

The provider's authorized official is David M O'connell .
The authorized official title is President and has the following contact phone number (913) 469-0110.

The CLIA number assigned to this NPI record is 17D0449461 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/15/2006 and was last updated on 11/27/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist3992KANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K280000MEDICARE ID-TYPE UNSPECIFIEDKANSAS

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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