Active NPI
Louis Stiaszny, M.D.
- Pediatrics Physician
- Independence, MO
National Provider Identifier
1336258722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- R4A84
- Practice address
- 4811 S Arrowhead Dr
Independence, MO 64055-6981 - Phone
- (816) 356-5000
- NPI assigned
- Aug 30, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R4A84 | MO | Primary |
Addresses
Primary practice location
4811 S Arrowhead Dr
Independence, MO 64055-6981
Mailing address
8550 Marshall Dr
Ste. 220
Lenexa, KS 66214-1505
Phone (816) 356-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201341310 | 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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R4A84 | MO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encompass Medical Group, PA | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250553600000",
"number": "1336258722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8550 MARSHALL DR",
"address_2": "STE. 220",
"city": "LENEXA",
"state": "KS",
"postal_code": "662141505",
"telephone_number": "816-356-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4811 S ARROWHEAD DR",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640556981",
"telephone_number": "816-356-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIASZNY",
"first_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2009-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "R4A84",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201341310",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.