Active NPI
Meadowlark Medical Services, PA
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Kansas City, KS
National Provider Identifier
1053515973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 2009015153
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 2009015153 | MO | Primary |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 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 DirectoryLocations
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.