Organization Active NPI

Alfred Gilgore Medical Associates PA

  • Clinic/Center
  • Lenexa, KS
National Provider Identifier
1154512978
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
15547 Issued in KS
Legal business name
ALFRED GILGORE MEDICAL ASSOCIATES PA
Practice address
9421 Pflumm Rd
Lenexa, KS 66215-3307
Phone
(913) 888-1133
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Authorized official

Name
Dr. Alfred Gilgore, D.O.
Title
Physician/President
Phone
(913) 888-1133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 15547 KS Primary

Addresses

Primary practice location

9421 Pflumm Rd
Lenexa, KS 66215-3307

Mailing address

9421 Pflumm Rd
Lenexa, KS 66215-3307
Phone (913) 888-1133

Other identifiers 2

IdentifierTypeStateIssuer
5370000AOtherKSMEDICARE GROUP NUMBER
03952017OtherKSBCBSKC

National Provider Directory

National Provider Directory

Locations

9421 Pflumm Rd
Lenexa, KS 66215
Phone (816) 524-1342

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1154512978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9421 PFLUMM RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153307",
            "telephone_number": "913-888-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9421 PFLUMM RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153307",
            "telephone_number": "913-888-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFRED GILGORE MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "GILGORE",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "913-888-1133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KS",
            "license": "15547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "5370000A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKC",
            "identifier": "03952017",
            "state": "KS"
        }
    ],
    "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 Aug 27, 2007; 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.