Organization Active NPI

Stockridge Physicians Services LLC

  • Urology Physician
  • Leawood, KS
National Provider Identifier
1285917765
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
STOCKRIDGE PHYSICIANS SERVICES LLC
Doing business as
Stockridge Men's MedCenter
Practice address
5401 College Blvd
Ste 203
Leawood, KS 66211-1923
Phone
(913) 553-4614
Fax
(913) 553-4615
NPI assigned
Sep 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Authorized official

Name
Dr. Dennis K Katz, DO
Title
Sole Member
Phone
(913) 553-4614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

5401 College Blvd
Ste 203
Leawood, KS 66211-1923

Mailing address

PO Box 521
Andover, KS 67002-0521
Phone (316) 927-3884

Other names 1

  • Stockridge Men's MedCenter Doing business as

National Provider Directory

National Provider Directory

Locations

5401 College Blvd
Ste 203
Overland Park, KS 66211
Phone (913) 553-4614

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1285917765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 521",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670020521",
            "telephone_number": "316-927-3884",
            "fax_number": "316-927-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 COLLEGE BLVD",
            "address_2": "STE 203",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111923",
            "telephone_number": "913-553-4614",
            "fax_number": "913-553-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCKRIDGE PHYSICIANS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "913-553-4614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stockridge Men's MedCenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.