Active NPI
Edward J. Laughlin, MD
- Cardiovascular Disease Physician
- Overland Park, KS
National Provider Identifier
1316959091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 04-26656
- Practice address
- 10787 Nall Ave.
Suite 300
Overland Park, KS 66211-1372 - Phone
- (913) 588-9400
- Fax
- (913) 588-9450
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | R6F84 | MO | |
| Cardiovascular Disease Physician | 207RC0000X | 04-26656 | KS | Primary |
Addresses
Primary practice location
10787 Nall Ave.
Suite 300
Overland Park, KS 66211-1372
Mailing address
5501 NW 62ND Ter
Suite 201
Kansas City, MO 64151-2408
Phone (913) 584-8884
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100328390A | Medicaid | KS | |
| 12427043 | Other | MO | BCBS KC |
| 100328390B | Medicaid | KS | |
| 051554 | Other | KS | BCBS KS |
| 208516310 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-26656 | KS | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442275200000",
"number": "1316959091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5501 NW 62ND TER",
"address_2": "SUITE 201",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641512408",
"telephone_number": "913-584-8884",
"fax_number": "913-945-9612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10787 NALL AVE.",
"address_2": "SUITE 300",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111372",
"telephone_number": "913-588-9400",
"fax_number": "913-588-9450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUGHLIN",
"first_name": "EDWARD",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2015-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "R6F84",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KS",
"license": "04-26656",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100328390A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KC",
"identifier": "12427043",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100328390B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KS",
"identifier": "051554",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208516310",
"state": "MO"
}
],
"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 Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.