Active NPI
Hepato-Gastroenterology Assoc PA
- Gastroenterology Physician
- Overland Park, KS
National Provider Identifier
1477517597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 0415236
- Legal business name
- HEPATO-GASTROENTEROLOGY ASSOC PA
- Practice address
- 4601 W 109TH Street
Suite 206
Overland Park, KS 66211 - Phone
- (913) 451-5770
- Fax
- (913) 451-4953
- NPI assigned
- Apr 14, 2006
- 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
- Asghar M Chaudhary, MD FACP FACG
- Title
- President
- Phone
- (913) 451-5770
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 0415236 | KS | Primary |
| Gastroenterology Physician | 207RG0100X | 34217 | MO |
Addresses
Primary practice location
4601 W 109TH Street
Suite 206
Overland Park, KS 66211
Mailing address
4601 W 109TH Street
Suite 206
Overland Park, KS 66211
Phone (913) 451-5770
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100000740A | Medicaid | KS | |
| 200437804 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
4601 W 109th St
Ste 206
Overland Park, KS 66211
Phone (913) 339-6255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215561600000",
"number": "1477517597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 W 109TH STREET",
"address_2": "SUITE 206",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66211",
"telephone_number": "913-451-5770",
"fax_number": "913-451-4953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 W 109TH STREET",
"address_2": "SUITE 206",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66211",
"telephone_number": "913-451-5770",
"fax_number": "913-451-4953"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEPATO-GASTROENTEROLOGY ASSOC PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-14",
"last_updated": "2008-07-09",
"status": "A",
"authorized_official_last_name": "CHAUDHARY",
"authorized_official_first_name": "ASGHAR",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "913-451-5770",
"authorized_official_credential": "MD FACP FACG"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "KS",
"license": "0415236",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "MO",
"license": "34217",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100000740A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200437804",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.