Mark Jeffrey Maslan, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

04-21348 Issued in KS

Practice address

5520 College Blvd
Suite 350
Overland Park, KS 66211-1630

Phone

(913) 663-5100

Fax

(913) 663-3354

NPI assigned

Apr 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1073576302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 COLLEGE BLVD",
            "address_2": "SUITE 350",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111630",
            "telephone_number": "913-663-5100",
            "fax_number": "913-663-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 COLLEGE BLVD",
            "address_2": "SUITE 350",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111630",
            "telephone_number": "913-663-5100",
            "fax_number": "913-663-3354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39000 Bob Hope Dr Ste W301",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922707036",
            "country_code": "US",
            "telephone_number": "760-341-1165",
            "fax_number": "760-340-2481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASLAN",
        "first_name": "MARK",
        "middle_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KS",
            "license": "04-21348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202403002",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2050277901",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Martveli, RBT
• Leslie B Marvin, CRNA
• Mary E Rich LLC
• Mary Lynn Martin Aprn LLC
• Mebble Maseko-Hinson
• Jodi Lyn Mason-Eisenhauer, LCP
• Cori Elizabeth Mason, M.D.
• Lark R. Mason, L.S.C.S.W.
• Mark Mason, PT
• Tahira Masood, MD

• Otolaryngology Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Otolaryngology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.