Michael L Munger, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0428980 Issued in KS

Practice address

4061 Indian Creek Pkwy
Overland Park, KS 66207-4030

Phone

(913) 317-7990

Fax

(913) 317-7018

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1669407607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E. 104TH ST",
            "address_2": "MAILSTOP 400N",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64131",
            "telephone_number": "816-502-7104",
            "fax_number": "816-932-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4061 INDIAN CREEK PKWY",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662074030",
            "telephone_number": "913-317-7990",
            "fax_number": "913-317-7018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12330 Metcalf Ave",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662131324",
            "country_code": "US",
            "telephone_number": "913-317-7990",
            "fax_number": "913-317-7018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNGER",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R1E29",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0428980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100387220A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandi Nicole Mulryan, APRN/WHNP-BC
• Brooke Munch
• Emilie Suzanne Munda
• Matthew Joseph Munden, RN
• Curt Breckenridge Mundis, LMSW
• David Kenneth Munyan, APRN
• Michael Brenton Murff, FNP
• Veronica Murillo Ruiz Acevedo, LPN
• Edith Kendi Muriuki, NP
• Nicole Sharee Murphy, D.C.

• Family Medicine Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.