Organization Active NPI

Cecily a. Clark-Ganheart, M.D., P.a.

Doing business as Conceptual Health

  • Maternal & Fetal Medicine Physician
  • Overland Park, KS
National Provider Identifier
1255923231
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
CECILY A. CLARK-GANHEART, M.D., P.A.
Doing business as
Conceptual Health
Practice address
16240 Foster St
Overland Park, KS 66085-8418
Phone
(269) 209-2048
NPI assigned
Feb 10, 2021
Last updated
Aug 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Dr. Cecily Anne Clark-Ganheart, MDNPI 1720234107
Title
President
Phone
(913) 291-0069

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X NU Primary
Obesity Medicine (Obstetrics & Gynecology) Physician 207VB0002X NU

Addresses

Primary practice location

16240 Foster St
Overland Park, KS 66085-8418

Mailing address

16240 Foster St
Overland Park, KS 66085-8418
Phone (913) 291-0069

Other names 1

  • Conceptual Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210909001206 KS Part B Supplier - Clinic/Group Practice 0749686277 Receives reassigned benefits from 1 practitioner
Practice locations: Overland Park, KS

National Provider Directory

National Provider Directory

Locations

16240 Foster St
Stilwell, KS 66085
Phone (269) 209-2048

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1255923231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16240 FOSTER ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "660858418",
            "telephone_number": "913-291-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16240 FOSTER ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "660858418",
            "telephone_number": "269-209-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CECILY A. CLARK-GANHEART, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "CLARK-GANHEART",
        "authorized_official_first_name": "CECILY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-291-0069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207VB0002X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conceptual Health",
            "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 Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.