Individual provider Active NPI

William W Emmot, MD

  • Cardiovascular Disease Physician
  • Olathe, KS
National Provider Identifier
1508813502
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0415038 Issued in KS
Practice address
20805 W 151St Street
Building 2 Suite 400
Olathe, KS 66061-5353
Phone
(913) 780-4900
Fax
(913) 780-0949
NPI assigned
May 27, 2006
Last updated
Sep 13, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0415038 KS Primary

Addresses

Primary practice location

20805 W 151St Street
Building 2 Suite 400
Olathe, KS 66061-5353

Mailing address

20805 W 151St Street
Building 2 Suite 400
Olathe, KS 66061-5353
Phone (913) 780-4900

Other identifiers 1

IdentifierTypeStateIssuer
100455240AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0415038KSMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olathe Wound and Hyperbaric Associates LLC Past Accepting new patients
Olathe Health Physicians, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1508813502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20805 W 151ST STREET",
            "address_2": "BUILDING 2 SUITE 400",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615353",
            "telephone_number": "913-780-4900",
            "fax_number": "913-780-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20805 W 151ST STREET",
            "address_2": "BUILDING 2 SUITE 400",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615353",
            "telephone_number": "913-780-4900",
            "fax_number": "913-780-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMOT",
        "first_name": "WILLIAM",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "0415038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100455240A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.