Individual provider Active NPI

Gillian Housman, D.O.

  • Family Medicine Physician
  • Merriam, KS
National Provider Identifier
1891037693
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05-39371 Issued in KS
Practice address
8800 W 75TH St
Suite 300
Merriam, KS 66204-2205
Phone
(913) 722-4240
Fax
(913) 722-2435
NPI assigned
Mar 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05-39371 KS Primary

Addresses

Primary practice location

8800 W 75TH St
Suite 300
Merriam, KS 66204-2205

Mailing address

5675 Roe BVD
Ste 100
Roeland Park, KS 66205-2538
Phone (913) 432-2080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160108002502 MO Order and Referring Only - Family PracticePractitioner - Family Practice 0042512949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Interoperability endpoints

  • Direct secure messaging: gillianhousman@smgks.allscriptsdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1891037693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5675 ROE BVD",
            "address_2": "STE 100",
            "city": "ROELAND PARK",
            "state": "KS",
            "postal_code": "662052538",
            "telephone_number": "913-432-2080",
            "fax_number": "913-432-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 W 75TH ST",
            "address_2": "SUITE 300",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042205",
            "telephone_number": "913-722-4240",
            "fax_number": "913-722-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSMAN",
        "first_name": "GILLIAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2021-05-06",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-39371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merriam, KS

Sources for this page

Verify at the official NPI Registry.