Physician Associates of Corporate Woods, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PHYSICIAN ASSOCIATES OF CORPORATE WOODS, LLC

Practice address

8675 College Blvd
Suite 100
Overland Park, KS 66210-1835

Phone

(913) 327-0911

Fax

(913) 327-0912

NPI assigned

Aug 26, 2008

Organization subpart

No

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

Authorized official

Name

Patrick J. Kueny

Title

VP

Phone

(816) 508-4090

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1871740464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8675 COLLEGE BLVD",
            "address_2": "SUITE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101835",
            "telephone_number": "913-327-0911",
            "fax_number": "913-327-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8675 COLLEGE BLVD",
            "address_2": "SUITE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101835",
            "telephone_number": "913-327-0911",
            "fax_number": "913-327-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN ASSOCIATES OF CORPORATE WOODS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "KUENY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "816-508-4090"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871740464",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200584180 A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey M Phillips, MOT, OTR/L
• Mary Julian Phillips, P.T.
• Leah Paige Phipps
• Steven Phipps
• William Revelle Phipps, M.D.
• Physicians Reference Laboratory LLC
• Physicians Reference Laboratory LLC
• Physicians Reference Laboratory LLC
• Physicians Reference Laboratory LLC
• Physicians Reference Laboratory LLC

• 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 Apr 9, 2009; 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.