Organization Active NPI

Meadowlark Medical Services, PA

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Kansas City, KS
National Provider Identifier
1053515973
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
2009015153 Issued in MO
Legal business name
MEADOWLARK MEDICAL SERVICES, PA
Practice address
21 N 12TH St Ste 103a
Kansas City, KS 66102-5161
Phone
(816) 531-0110
Fax
(816) 531-0115
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Dr. James A Brockenbrough, M.D.
Title
President
Phone
(816) 813-8308

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208G00000X 2009015153 MO Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208G00000X 0432320 KS

Addresses

Primary practice location

21 N 12TH St Ste 103a
Kansas City, KS 66102-5161

Mailing address

3210 Mersington Ave
Kansas City, MO 64128-2143
Phone (816) 813-8308

National Provider Directory

National Provider Directory

Locations

1601 Meadowlark Ln
Ste B
Kansas City, KS 66102
Phone (913) 596-2000

8615 Rosehill Rd
Ste 202
Lenexa, KS 66215
Phone (913) 341-2900

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1053515973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 MERSINGTON AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641282143",
            "telephone_number": "816-813-8308",
            "fax_number": "816-924-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N 12TH ST STE 103A",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661025161",
            "telephone_number": "816-531-0110",
            "fax_number": "816-531-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWLARK MEDICAL SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "BROCKENBROUGH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-813-8308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": "2009015153",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "KS",
            "license": "0432320",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.