West College Dermatology & Aesthetics, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

04-25210 Issued in KS

Legal business name

WEST COLLEGE DERMATOLOGY & AESTHETICS, PA

Practice address

11041 Hauser St
Lenexa, KS 66210-3708

Phone

(913) 888-3376

Fax

(913) 888-3386

NPI assigned

Oct 1, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Lee Haag, MD

Title

Owner

Phone

(913) 888-3376

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1003003310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11041 HAUSER ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662103708",
            "telephone_number": "913-888-3376",
            "fax_number": "913-888-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11041 HAUSER ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662103708",
            "telephone_number": "913-888-3376",
            "fax_number": "913-888-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COLLEGE DERMATOLOGY & AESTHETICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "HAAG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-888-3376",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "KS",
            "license": "04-25210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Margaret Wells
• Jennifer Welsh, MS
• Maria B Werly, M.D.
• Kyle Christopher Werth
• Seth Wescott
• Jana West
• Mary Eileen Westermayer, LPN
• Westside Family Church
• Wheat State Dental, LLC
• Brietta Madalaine Wheeler

• Dermatology Physician in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Dermatology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.