Dr.E.T.'S Concierge Care

Primary specialty

Oncology Clinic/CenterTaxonomy code 261QX0200X

License

0424799 Issued in KS

Legal business name

DR.E.T.'S CONCIERGE CARE

Practice address

12140 Nall Ave Ste 305
Leawood, KS 66209-2501

Phone

(913) 735-3873

NPI assigned

Mar 18, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Sukumar Ethirajan, MD

Title

Physician

Phone

(913) 735-3873

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1477914471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12140 NALL AVE STE 305",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662092501",
            "telephone_number": "913-735-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12140 NALL AVE STE 305",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662092501",
            "telephone_number": "913-735-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.E.T.'S CONCIERGE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "ETHIRAJAN",
        "authorized_official_first_name": "SUKUMAR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "913-735-3873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "KS",
            "license": "0424799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oncology Clinic/Center in Leawood, KS
• Providers in Leawood, KS by specialty
• Oncology Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.