Mid-America Urology, PA
Organization Active NPI Urology Physician · Paola, KS
NPI 1376691444 · NPPES record last updated Nov 14, 2014
Key facts
- NPI
- 1376691444
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- Legal business name
- MID-AMERICA UROLOGY, PA
- Practice address
- 705 Baptiste Dr
Paola, KS 66071-1336 - Phone
- (913) 780-3388
- Fax
- (913) 780-3256
- NPI assigned
- Jan 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Bradley D Connett, MD
- Title
- Owner
- Phone
- (913) 780-3388
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician |
208800000X | Yes |
Addresses
Primary practice location
705 Baptiste Dr
Paola, KS 66071-1336
Mailing address
20375 W 151St St
Ste 270
Olathe, KS 66061-5306
Phone (913) 780-3388
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100153430B | Medicaid | KS | |
| CS3061 | Other | RAILROAD MEDICARE |
Other providers in Paola, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.