Mid America Kidney Stone Association

Primary specialty

Lithotripsy Clinic/CenterTaxonomy code 261QL0400X

Legal business name

MID AMERICA KIDNEY STONE ASSOCIATION

Practice address

10983 Granada LN Ste 110
Overland Park, KS 66211-1401

Phone

(913) 766-1860

Fax

(913) 232-9336

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Mr. William K. Worthley

Title

General Manager

Phone

(858) 703-7335

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1740309202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10983 GRANADA LN STE 110",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111401",
            "telephone_number": "913-766-1860",
            "fax_number": "913-232-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10983 GRANADA LN STE 110",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111401",
            "telephone_number": "913-766-1860",
            "fax_number": "913-232-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID AMERICA KIDNEY STONE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "WORTHLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "858-703-7335",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QL0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Lithotripsy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie A Michaud, MD
• Michele Craft Therapy Services, LLC
• Roberta Mitchell Michelson, RPH
• Brian P Mick, COTA
• Mid America Balance Institute Inc
• Mid America Neurospine LLC
• Mid America Pain Clinic LLC
• Mid America Pathology Laboratory LLC
• Mid America Sarcoma Institute PA
• Mid-America Orthopedics KC LLC

• Lithotripsy Clinic/Center in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Lithotripsy Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.