Organization Active NPI

Meadowlark Neuromonitoring LLC

  • Clinical Neurophysiology Physician
  • Overland Park, KS
National Provider Identifier
1235717562
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
MEADOWLARK NEUROMONITORING LLC
Practice address
7131 W 135TH St # 1006
Overland Park, KS 66223-1238
Phone
(866) 374-6628
Fax
(866) 951-1120
NPI assigned
Mar 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Kelly McClintock
Title
Compliance Officer
Phone
(866) 374-6628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0600X Primary

Addresses

Primary practice location

7131 W 135TH St # 1006
Overland Park, KS 66223-1238

Mailing address

7131 W 135TH St # 1006
Overland Park, KS 66223-1238
Phone (866) 374-6628

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1235717562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7131 W 135TH ST # 1006",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662231238",
            "telephone_number": "866-374-6628",
            "fax_number": "866-951-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7131 W 135TH ST # 1006",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662231238",
            "telephone_number": "866-374-6628",
            "fax_number": "866-951-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWLARK NEUROMONITORING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "MCCLINTOCK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "866-374-6628"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 5, 2022; 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.