Arckc LLC

Organization Active NPI Rheumatology Physician · Overland Park, KS

NPI 1861756041 · NPPES record last updated Jan 21, 2013

Key facts

NPI
1861756041
Entity type
Organization (NPI type 2)
Primary specialty
Rheumatology Physician 207RR0500X
Legal business name
ARCKC LLC
Practice address
8401 W 125TH St
Overland Park, KS 66213-1449
Phone
(913) 338-3222
Fax
(913) 338-3227
NPI assigned
Jul 2, 2012
Organization subpart
No

Authorized official

Name
Dr. James Anderson, MD
Title
Co-Owner
Phone
(913) 338-3222

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20121109000515 KS Part B Supplier - Clinic/Group Practice 5395996813 Receives reassigned benefits from 2 practitioners
Practice locations: Overland Park, KS

National Provider Directory

Locations

12902 State Line Rd
Leawood, KS 66209
Phone (913) 338-3222

10460 Mastin St
Overland Park, KS 66212
Phone (913) 338-3222

8401 W 125th St
Overland Park, KS 66213
Phone (913) 338-3222

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207KA0200X
Rheumatology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RR0500X Yes
Pediatric Rheumatology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2080P0216X

Addresses

Primary practice location

8401 W 125TH St
Overland Park, KS 66213-1449

Mailing address

8401 W 125TH St
Overland Park, KS 66213-1449
Phone (913) 338-3222

Other names

  • Allergy & Rhuematology Clinics of Kansas City Doing business as

Other providers in Overland Park, KS

All providers in Overland Park, KS · Rheumatology Physician in Kansas

Sources for this page

Verify at the official NPI Registry.