Lindsey Gurkovich, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

5250 W 94TH Ter
Prairie Village, KS 66207-2502

Phone

(913) 451-0000

NPI assigned

Jun 16, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1376957548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 MARTY AVE",
            "address_2": "APT 3",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661032960",
            "telephone_number": "443-340-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 W 94TH TER",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072502",
            "telephone_number": "913-451-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURKOVICH",
        "first_name": "LINDSEY",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant R Smith DDS PA
• Miles Greenwald, MD
• Stephen Greer, LPC
• Brenda Marie Grigsby
• Guardian Anesthesia Services
• Thuy Ha, PHARMD
• Douglas V. Hadel, D.C.
• Tricia Marie Halford, DDS
• Rosalie Borders Hall, BSPT
• Sophia Hoad Halma

• All providers in Prairie Village, KS
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.