Active NPI
Andersen Medical Group, LLC
- Occupational Medicine Physician
- Lenexa, KS
National Provider Identifier
1083104673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 05-29348
- Legal business name
- ANDERSEN MEDICAL GROUP, LLC
- Practice address
- 15545 W. 87TH St
Lenexa, KS 66219 - Phone
- (913) 565-0780
- NPI assigned
- May 18, 2018
- Last updated
- Apr 16, 2024
- 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. Arden Andersen, DO
- Title
- Medical Director
- Phone
- (574) 370-4551
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 05-29348 | KS | |
| Occupational Medicine Physician | 2083X0100X | 05-29348 | KS | Primary |
Addresses
Primary practice location
15545 W. 87TH St
Lenexa, KS 66219
Mailing address
15545 W. 87TH St
Lenexa, KS 66219-1735
Phone (913) 894-4428
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Physician
- Lansing, KS
- NPI 1093800716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713225600000",
"number": "1083104673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15545 W. 87TH ST",
"city": "LENEXA",
"state": "KS",
"postal_code": "662191735",
"telephone_number": "913-894-4428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15545 W. 87TH ST",
"city": "LENEXA",
"state": "KS",
"postal_code": "66219",
"telephone_number": "913-565-0780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDERSEN MEDICAL GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-18",
"last_updated": "2024-04-16",
"certification_date": "2024-04-10",
"status": "A",
"authorized_official_last_name": "ANDERSEN",
"authorized_official_first_name": "ARDEN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "574-370-4551",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "KS",
"license": "05-29348",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "KS",
"license": "05-29348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lenexa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.