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

Last updated

Jun 17, 2014By the provider in NPPES

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, MDNPI 1649262692

Title

Owner

Phone

(913) 888-3376

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Lee Haag, MD

  • Dermatology Physician
  • Lenexa, KS
  • NPI 1649262692
  Authorized official Same address or phone

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 of Lenexa LLC
• Wheat State Dental, LLC

• 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.