NPIMap

Organization Active NPI

James Mirabile MD PA

  • Obstetrics & Gynecology Physician
  • Overland Park, KS
National Provider Identifier
1205930419
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
JAMES MIRABILE MD PA
Practice address
4550 W 109TH St
Suite 130
Overland Park, KS 66211-1360
Phone
(913) 888-7546
Fax
(913) 338-1337
NPI assigned
Sep 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Authorized official

Name
Cheryl D McAnally
Title
RN
Phone
(913) 541-5231

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

4550 W 109TH St
Suite 130
Overland Park, KS 66211-1360

Mailing address

4550 W 109TH St
Suite 130
Overland Park, KS 66211-1360
Phone (913) 888-7546

Other identifiers 1

IdentifierTypeStateIssuer
501535900MedicaidMO

Other names 1

  • FOR WOMEN ONLY Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0985040For Women Only4550 West 109TH Suite 130, Overland Park, KS 66211Provider-performed microscopyApr 4, 2027

National Provider Directory

National Provider Directory

Locations

152 Harvest Dr
Louisburg, KS 66053
Phone (913) 837-2817

4550 W 109th St
Ste 130
Overland Park, KS 66211
Phone (913) 307-3198

Practitioners & affiliated clinicians

Practitioners 9

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": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1205930419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 W 109TH ST",
            "address_2": "SUITE 130",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111360",
            "telephone_number": "913-888-7546",
            "fax_number": "913-338-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 W 109TH ST",
            "address_2": "SUITE 130",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111360",
            "telephone_number": "913-888-7546",
            "fax_number": "913-338-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES MIRABILE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "MCANALLY",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "913-541-5231"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501535900",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOR WOMEN ONLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.