Individual provider Active NPI

Douglas Bruce Macfarlane, M.D.

  • Obstetrics & Gynecology Physician
  • Olathe, KS
National Provider Identifier
1114051448
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
207V00000X Issued in KS
Practice address
20375 W 151St St
#200
Olathe, KS 66061-7218
Phone
(913) 782-3073
Fax
(913) 782-5015
NPI assigned
Mar 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 207V00000X KS Primary

Addresses

Primary practice location

20375 W 151St St
#200
Olathe, KS 66061-7218

Mailing address

20375 W 151St St
#200
Olathe, KS 66061-7218
Phone (913) 782-3073

Other practice location 1

1600 N 2nd St
Clinton, MO 64735-1192
Phone (660) 885-5511

Other identifiers 1

IdentifierTypeStateIssuer
100200390BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200612001757 MO Practitioner - Obstetrics/Gynecology 3274709787 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
207V00000XKSMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Memorial Hospital District CurrentSince Jul 1, 2020 Accepting new patients
Golden Valley Memorial Hospital District Current Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Jul 1, 2020 Accepting new patients

Locations

1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1114051448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20375 W 151ST ST",
            "address_2": "#200",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617218",
            "telephone_number": "913-782-3073",
            "fax_number": "913-782-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20375 W 151ST ST",
            "address_2": "#200",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617218",
            "telephone_number": "913-782-3073",
            "fax_number": "913-782-5015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MO",
            "postal_code": "647351192",
            "country_code": "US",
            "telephone_number": "660-885-5511",
            "fax_number": "660-890-8422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACFARLANE",
        "first_name": "DOUGLAS",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "207V00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100200390B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.