MIDWEST PEDIATRIC SPECIALISTS P A NPI 1891390548

NPI Information

  • NPI: 1891390548
  • Provider Name: MIDWEST PEDIATRIC SPECIALISTS P A
  • Classification: Pediatrics - 2080P0206X
  • Specialization: Pediatric Gastroenterology
  • Entity Type: Organization
  • CLIA Number: 17D2203842
  • Address: 10550 QUIVIRA RD STE 520
    OVERLAND PARK, KS
    ZIP 66215
  • Phone: (913) 310-0482

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NPI Details

MIDWEST PEDIATRIC SPECIALISTS P A is a pediatric gastroenterology pediatrics in Overland Park, KS. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. MIDWEST PEDIATRIC SPECIALISTS P A NPI is 1891390548. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10550 QUIVIRA RD STE 520
OVERLAND PARK, KS
ZIP 66215-307
Phone: (913) 310-0482
Fax: (913) 894-1330

The provider's authorized official is Makali R Mickelson .
The authorized official title is Office Manager and has the following contact phone number (913) 310-0482.

The CLIA number assigned to this NPI record is 17D2203842 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2020 and was last updated on 8/23/2024.

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
12080P0203XPediatricsPediatric Critical Care MedicineNo
22080P0205XPediatricsPediatric EndocrinologyNo
32080P0206XPediatricsPediatric GastroenterologyYes

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: 11/21/2025

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