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MIDWEST PEDIATRIC SPECIALISTS P A NPI 1891390548


NPI Information

NPI: 1891390548
Provider Name: MIDWEST PEDIATRIC SPECIALISTS P A
Classification: Pediatrics - 2080P0205X
Entity Type: Organization

Specialization: Pediatric Endocrinology

CLIA Number: 17D2203842

Address:
10550 QUIVIRA RD STE 520
OVERLAND PARK, KS
ZIP 66215
Phone: (913) 310-0482
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MIDWEST PEDIATRIC SPECIALISTS P A is a pediatric endocrinology pediatrics in Overland Park, KS. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. 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 7/11/2023.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
22080P0203XPediatricsPediatric Critical Care MedicineNo
32080P0206XPediatricsPediatric GastroenterologyNo
42080P0205XPediatricsPediatric EndocrinologyYes

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: 5/5/2024

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