Active NPI
Stephanie Suber DO an Operating Division of Saint John Hospital
- Family Medicine Physician
- Lansing, KS
National Provider Identifier
1285833426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- PENDING
- Legal business name
- STEPHANIE SUBER DO AN OPERATING DIVISION OF SAINT JOHN HOSPITAL
- Practice address
- 1004 Progress Drive
Suite 220
Lansing, KS 66043-6326 - Phone
- (913) 772-8200
- Fax
- (913) 722-0372
- NPI assigned
- Jul 17, 2007
- Last updated
- Mar 26, 2008
- Organization subpart
- Yes
- Parent organization
- SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEMS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael A Dorsey
- Title
- President Ceo
- Phone
- (913) 596-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | PENDING | KS | Primary |
Addresses
Primary practice location
1004 Progress Drive
Suite 220
Lansing, KS 66043-6326
Mailing address
PO Box 12264
Kansas City, KS 66112-0264
Phone (913) 825-6512
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG6039 | Other | KS | RAILROAD MEDICARE |
| 111366 | Other | KS | BCBS KANSAS |
National Provider Directory
National Provider Directory- Part of
- Sisters of Charity of Leavenworth Health System Inc
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Intermountain Specialty Pharmacy - Denver
- Institutional Pharmacy
- Denver, CO
- NPI 1356898274
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206489600000",
"number": "1285833426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12264",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661120264",
"telephone_number": "913-825-6512",
"fax_number": "913-328-7011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 PROGRESS DRIVE",
"address_2": "SUITE 220",
"city": "LANSING",
"state": "KS",
"postal_code": "660436326",
"telephone_number": "913-772-8200",
"fax_number": "913-722-0372"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHANIE SUBER DO AN OPERATING DIVISION OF SAINT JOHN HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEMS",
"enumeration_date": "2007-07-17",
"last_updated": "2008-03-26",
"status": "A",
"authorized_official_last_name": "DORSEY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT CEO",
"authorized_official_telephone_number": "913-596-4000"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "KS",
"license": "PENDING",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DG6039",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KANSAS",
"identifier": "111366",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lansing, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.