Active NPI
Kansas City Vascular Specialists Corp PA
- Vascular & Interventional Radiology Physician
- Overland Park, KS
National Provider Identifier
1366026270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Legal business name
- KANSAS CITY VASCULAR SPECIALISTS CORP PA
- Practice address
- 5320 College Blvd
Overland Park, KS 66211-1621 - Phone
- (913) 529-8600
- Fax
- (913) 701-3010
- NPI assigned
- May 6, 2021
- Last updated
- May 6, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yury Gampel
- Title
- Manager
- Phone
- (818) 880-8605
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | NU | Primary |
Addresses
Primary practice location
5320 College Blvd
Overland Park, KS 66211-1621
Mailing address
26500 Agoura Rd Ste 102-587
Calabasas, CA 91302-1952
Phone (818) 880-8605
National Provider Directory
National Provider DirectoryLocations
26500 Agoura Rd
Calabasas, CA 91302
Phone (818) 225-7918
5320 College Blvd
Overland Park, KS 66211
Phone (913) 279-0233
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Nurse Practitioner
- Germantown, TN
- NPI 1952911059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620259200000",
"number": "1366026270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26500 AGOURA RD STE 102-587",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913021952",
"telephone_number": "818-880-8605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5320 COLLEGE BLVD",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111621",
"telephone_number": "913-529-8600",
"fax_number": "913-701-3010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KANSAS CITY VASCULAR SPECIALISTS CORP PA",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-06",
"last_updated": "2021-05-06",
"certification_date": "2021-05-06",
"status": "A",
"authorized_official_last_name": "GAMPEL",
"authorized_official_first_name": "YURY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "818-880-8605"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
- Kansas City Surgery Center, LLC
- Kansas City Urology Care, P.a.
- Kansas City Vamc
- Kansas City Vascular & General Surgery Group LLC
- Kansas City Vascular & General Surgery Group LLC
- Kansas City Vision Performance Center
- Kansas City Women's Clinic
- Kansas City Womens Clinic Group LLC
- Kansas CVS Pharmacy LLC (CVS Pharmacy #08582)
- Kansas CVS Pharmacy LLC (CVS Pharmacy #08601)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.