Organization Active NPI

Plaza Gastroenterology Associates, LLC

  • Specialist
  • Overland Park, KS
National Provider Identifier
1104937507
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PLAZA GASTROENTEROLOGY ASSOCIATES, LLC
Practice address
12330 Metcalf Ave Ste 260
Overland Park, KS 66213-1302
Phone
(913) 491-9100
Fax
(913) 491-9135
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Dr. Richard S Hart, M.D.NPI 1720039084
Title
President
Phone
(913) 491-9100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

12330 Metcalf Ave Ste 260
Overland Park, KS 66213-1302

Mailing address

12330 Metcalf Ave Ste 260
Overland Park, KS 66213-1302
Phone (913) 491-9100

Other identifiers 1

IdentifierTypeStateIssuer
10359970AMedicaidKS

National Provider Directory

National Provider Directory

Locations

12330 Metcalf Ave
Ste 260
Overland Park, KS 66213
Phone (913) 451-1115

4320 Wornall Rd
Ste 114
Kansas City, MO 64111
Phone (816) 931-1500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1104937507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12330 METCALF AVE STE 260",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131302",
            "telephone_number": "913-491-9100",
            "fax_number": "913-491-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12330 METCALF AVE STE 260",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131302",
            "telephone_number": "913-491-9100",
            "fax_number": "913-491-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA GASTROENTEROLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-491-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10359970A",
            "state": "KS"
        }
    ],
    "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 Feb 15, 2008; 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.