Organization Active NPI

Midwestern Endocrinology, P.a.

  • Specialist
  • Overland Park, KS
National Provider Identifier
1114074630
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MIDWESTERN ENDOCRINOLOGY, P.A.
Practice address
5401 College Blvd
Ste 110
Overland Park, KS 66211-1923
Phone
(913) 451-9888
Fax
(913) 451-2651
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Authorized official

Name
Dr. Andrew J Green, M.D.NPI 1255325791
Title
Physician
Phone
(913) 451-9888

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

5401 College Blvd
Ste 110
Overland Park, KS 66211-1923

Mailing address

5401 College Blvd
Ste 110
Overland Park, KS 66211-1923
Phone (913) 451-9888

Other identifiers 2

IdentifierTypeStateIssuer
497142OtherKSBLUE CROSS BLUE SHIELD
CS4205OtherKSRALROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

5520 College Blvd
Ste 330
Overland Park, KS 66211
Phone (913) 345-2322

1010 Carondelet Dr
#126
Kansas City, MO 64114
Phone (816) 942-0737

Practitioners & affiliated clinicians

Practitioners 1

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": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1114074630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 COLLEGE BLVD",
            "address_2": "STE 110",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111923",
            "telephone_number": "913-451-9888",
            "fax_number": "913-451-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 COLLEGE BLVD",
            "address_2": "STE 110",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111923",
            "telephone_number": "913-451-9888",
            "fax_number": "913-451-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWESTERN ENDOCRINOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "913-451-9888",
        "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": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "497142",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RALROAD MEDICARE",
            "identifier": "CS4205",
            "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 May 10, 2011; 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.