Active NPI
Kansas City Skin and Cancer Center, LLC
- MOHS-Micrographic Surgery Physician
- Kansas City, MO
National Provider Identifier
1669670964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- 2002002466
- Legal business name
- KANSAS CITY SKIN AND CANCER CENTER, LLC
- Practice address
- 5810 NW Barry Rd
Suite 100
Kansas City, MO 64154-1493 - Phone
- (816) 584-8100
- Fax
- (816) 584-8106
- NPI assigned
- Jul 7, 2007
- 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
- Mark Andrew Cohen, MD
- Title
- Member
- Phone
- (786) 281-3827
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | 2002002466 | MO | Primary |
Addresses
Primary practice location
5810 NW Barry Rd
Suite 100
Kansas City, MO 64154-1493
Mailing address
5810 NW Barry Rd
Suite 100
Kansas City, MO 64154-1493
Phone (816) 584-8100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39381019 | Other | MO | BLUE CROSS |
| P00439269 | Other | RAILROAD MEDICARE | |
| DG5134 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070904000627 | MO | Part B Supplier - Clinic/Group Practice | 5597858795 |
Receives reassigned benefits from 16 practitioners Practice locations: Kansas City, MO |
| O20160506001891 | KS | Part B Supplier - Clinic/Group Practice | 5597858795 |
Receives reassigned benefits from 7 practitioners Practice locations: Shawnee Mission, KS |
National Provider Directory
National Provider DirectoryLocations
9301 W 74th St
Ste 230
Shawnee Msn, KS 66204
Phone (816) 584-8100
5810 NW Barry Rd
Ste 100
Kansas City, MO 64154
Phone (816) 584-8100
4400 Broadway Blvd
Ste 400A
Kansas City, MO 64111
8656 N Ambassador Dr
Kansas City, MO 64154
Phone (816) 584-8100
Practitioners & affiliated clinicians
Practitioners 16
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- MOHS-Micrographic Surgery Physician
- Kansas City, MO
- NPI 1194785485
KS, MO, Mohs-Micrographic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462406400000",
"number": "1669670964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5810 NW BARRY RD",
"address_2": "SUITE 100",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641541493",
"telephone_number": "816-584-8100",
"fax_number": "816-584-8106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5810 NW BARRY RD",
"address_2": "SUITE 100",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641541493",
"telephone_number": "816-584-8100",
"fax_number": "816-584-8106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KANSAS CITY SKIN AND CANCER CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-07",
"last_updated": "2016-05-05",
"status": "A",
"authorized_official_last_name": "COHEN",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "786-281-3827",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "MO",
"license": "2002002466",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "39381019",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00439269",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DG5134",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
- Kansas City Psychotherapy
- Kansas City Pulmonary Clinic PA
- Kansas City Pulmonology Practice, LLC
- Kansas City Quality Improvement Consortium Inc
- Kansas City Rescue Mission
- Kansas City South Mo Consulting LLC
- Kansas City Spine and Wellness Clinic, LLC
- Kansas City Surgical Arts LLC
- Kansas City Testing and Assessment
- Kansas City Therapeutic Institute
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.