Active NPI
Legacy Heart Care of Kansas City, LLC
- Cardiovascular Disease Physician
- Overland Park, KS
National Provider Identifier
1003237215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- LEGACY HEART CARE OF KANSAS CITY, LLC
- Practice address
- 4550 W 109TH St
Ste 230
Overland Park, KS 66211-1360 - Phone
- (817) 423-4400
- Fax
- (817) 423-8080
- NPI assigned
- Dec 16, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Gratch
- Title
- Ceo
- Phone
- (817) 423-4400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
4550 W 109TH St
Ste 230
Overland Park, KS 66211-1360
Mailing address
2500 West Fwy
Ste 200
Fort Worth, TX 76102-5848
Phone (817) 423-4400
National Provider Directory
National Provider DirectoryLocations
4550 W 109th St
Ste 230
Overland Park, KS 66211
Phone (913) 345-1000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387152000000",
"number": "1003237215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 WEST FWY",
"address_2": "STE 200",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761025848",
"telephone_number": "817-423-4400",
"fax_number": "817-423-8080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 W 109TH ST",
"address_2": "STE 230",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111360",
"telephone_number": "817-423-4400",
"fax_number": "817-423-8080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY HEART CARE OF KANSAS CITY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-16",
"last_updated": "2013-12-16",
"status": "A",
"authorized_official_last_name": "GRATCH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "817-423-4400"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.