Active NPI
Obstetrics and Pediatrics Subspecialty Group of Kansas and Missouri PA
- Maternal & Fetal Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- Legal business name
- OBSTETRICS AND PEDIATRICS SUBSPECIALTY GROUP OF KANSAS AND MISSOURI PA
- Practice address
- 4722 N 24TH St Ste 150
Phoenix, AZ 85016-4860 - Phone
- (877) 885-0588
- NPI assigned
- Jul 26, 2006
- Last updated
- Oct 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael D Dwyer
- Title
- Assistant Secretary
- Phone
- (954) 384-0175
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | Primary | ||
| Pediatrics Physician | 208000000X | |||
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | |||
| Pediatric Cardiology Physician | 2080P0202X | |||
| Pediatric Critical Care Medicine Physician | 2080P0203X | |||
| Pediatric Gastroenterology Physician | 2080P0206X | |||
| Pediatric Infectious Diseases Physician | 2080P0208X | |||
| Pediatric Surgery Physician | 2086S0120X | |||
| Pediatric Orthopaedic Surgery Physician | 207XP3100X |
Addresses
Primary practice location
4722 N 24TH St Ste 150
Phoenix, AZ 85016-4860
Mailing address
1301 Concord Ter
Sunrise, FL 33323-2843
Phone (800) 243-3839
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100309390A | Medicaid | KS | |
| 100309390B | Medicaid | KS | |
| 162830002 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
3510 Clinton Pkwy
Ste 310
Lawrence, KS 66047
Phone (785) 830-8105
3510 Clinton Pl
Lawrence, KS 66047
Phone (785) 840-3780
3510 Clinton Pl
Ste 310
Lawrence, KS 66047
Phone (785) 841-0326
12200 W 106th St
Ste 110
Overland Park, KS 66215
19550 E 39th St S
Ste 335B
Independence, MO 64057
Phone (816) 350-2024
4400 Wornall Rd
Fl 2
Kansas City, MO 64111
4401 Wornall Rd
Fl 1
Kansas City, MO 64111
Phone (816) 932-3585
4401 Wornall Rd
Fl Opc
Kansas City, MO 64111
301 NE Mulberry St
Ste 202
Lees Summit, MO 64086
Phone (816) 251-5710
2790 Clay Edwards Dr
Ste 650
North Kansas City, MO 64116
Phone (816) 459-7500
Practitioners & affiliated clinicians
Practitioners 18
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Maternal & Fetal Medicine Physician
- Baltimore, MD
- NPI 1164498218
-
- Family Nurse Practitioner
- Olathe, KS
- NPI 1679998181
-
- Neonatal-Perinatal Medicine Physician
- Wichita, KS
- NPI 1043274566
-
- Nurse Practitioner
- Olathe, KS
- NPI 1215436225
-
- Clinical Psychologist
- Kansas City, KS
- NPI 1093824039
-
- Developmental - Behavioral Pediatrics Physician
- Olathe, KS
- NPI 1134157399
-
- Pediatrics Physician
- Fullerton, CA
- NPI 1427288588
-
- Pediatrics Physician
- Kansas City, KS
- NPI 1457461329
-
- Pediatrics Physician
- Visalia, CA
- NPI 1366443665
-
- Pediatric Cardiology Physician
- Kansas City, MO
- NPI 1225083900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729641600000",
"number": "1225051618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 CONCORD TER",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232843",
"telephone_number": "800-243-3839",
"fax_number": "844-686-2961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4722 N 24TH ST STE 150",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164860",
"telephone_number": "877-885-0588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OBSTETRICS AND PEDIATRICS SUBSPECIALTY GROUP OF KANSAS AND MISSOURI PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-26",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A",
"authorized_official_last_name": "DWYER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "954-384-0175",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100309390A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100309390B",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "162830002",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Aleksandra Obradov, M.D.
- Andrew Obrien
- Jonathan Jeremy Obrien, PA-C
- Observe Health LLC
- Obstetrics & Gynecology Consultants PC
- Obstetrix Medical Group of Phoenix PC (Arizona Pediatric Cardiology Consultants)
- William Obur
- Amber Rose Ocampo, OTD, OTR/L
- Jill Ocano, FNP BC
- Occupational Health Centers of the Southwest PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.