Organization Active NPI

Health Care Associated Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Overland Park, KS
National Provider Identifier
1073595898
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
HEALTH CARE ASSOCIATED EMERGENCY PHYSICIANS, LLC
Practice address
10975 Benson St
12 Corporate Woods Suite 250
Overland Park, KS 66210-1534
Phone
(913) 469-4244
Fax
(913) 469-1939
NPI assigned
Nov 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Authorized official

Name
Paul A Root
Title
Administrative Assistant
Phone
(913) 469-1488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

10975 Benson St
12 Corporate Woods Suite 250
Overland Park, KS 66210-1534

Mailing address

PO Box 838
Shawnee Mission, KS 66201-0838
Phone (913) 469-4244

Other identifiers 2

IdentifierTypeStateIssuer
200356840BMedicaidKS
509033908MedicaidMO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1073595898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 838",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662010838",
            "telephone_number": "913-469-4244",
            "fax_number": "913-469-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10975 BENSON ST",
            "address_2": "12 CORPORATE WOODS SUITE 250",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101534",
            "telephone_number": "913-469-4244",
            "fax_number": "913-469-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE ASSOCIATED EMERGENCY PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "ROOT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "913-469-1488"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200356840B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "509033908",
            "state": "MO"
        }
    ],
    "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 Mar 9, 2012; 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.