Individual provider Active NPI

William Arnold Pankey, M.D.

  • Pediatrics Physician
  • Kansas City, KS
National Provider Identifier
1205964624
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
111906 Issued in MO
Practice address
21 North 12TH Street
Suite 300
Kansas City, KS 66102
Phone
(913) 342-2552
Fax
(913) 428-8999
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 111906 MO Primary
Pediatrics Physician 208000000X 04-36170 KS

Addresses

Primary practice location

21 North 12TH Street
Suite 300
Kansas City, KS 66102

Mailing address

21 North 12TH Street
Suite 300
Kansas City, KS 66102
Phone (913) 342-2552

Other identifiers 1

IdentifierTypeStateIssuer
208691105MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-36170KSMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1205964624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 NORTH 12TH STREET",
            "address_2": "SUITE 300",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "66102",
            "telephone_number": "913-342-2552",
            "fax_number": "913-428-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 NORTH 12TH STREET",
            "address_2": "SUITE 300",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "66102",
            "telephone_number": "913-342-2552",
            "fax_number": "913-428-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANKEY",
        "first_name": "WILLIAM",
        "middle_name": "ARNOLD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "111906",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-36170",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208691105",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.