Mark S Humphrey, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

0421147 Issued in KS

Practice address

12200 W 106TH St
Suite 400
Overland Park, KS 66215-2305

Phone

(913) 541-8897

Fax

(913) 541-9135

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Associated Orthopedics

  • Orthopaedic Surgery Physician
  • Overland Park, KS
  • NPI 1548348550
  NPD (past)
• Midwest Oncology Associates LLC

  • Hematology & Oncology Physician
  • Kansas City, MO
  • NPI 1699911677
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1386733731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 W 106TH ST",
            "address_2": "SUITE 400",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152305",
            "telephone_number": "913-541-8897",
            "fax_number": "913-541-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 W 106TH ST",
            "address_2": "SUITE 400",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152305",
            "telephone_number": "913-541-8897",
            "fax_number": "913-541-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "MARK",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "0421147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100114030B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KC",
            "identifier": "15113011",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386733731",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100114030A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark.humphrey@cpfc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "12200 W 106th St",
            "address_2": "SUITE 400",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662152305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hobart Howard Hull Jr., DC
• Janae Hull
• Madisen Hullinger
• James E. Hulse III, MD
• John Kevin Humphrey Jr., DDS
• Kristin Elizabeth Humphreys, MD
• Samuel Joseph Hund
• Shirley H Hung, DDS
• Dylan Arthur Hungerford, PT, DPT
• Hunkeler Eye Institute PA

• Orthopaedic Surgery Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Orthopaedic Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.