Midwest Pediatric Specialists P a

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

Legal business name

MIDWEST PEDIATRIC SPECIALISTS P A

Practice address

10550 Quivira Rd Ste 520
Overland Park, KS 66215-2307

Phone

(913) 310-0482

Fax

(913) 894-1330

NPI assigned

Dec 1, 2020

Last updated

Aug 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Makali R Mickelson

Title

Office Manager

Phone

(913) 310-0482

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1891390548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 QUIVIRA RD STE 520",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152307",
            "telephone_number": "913-310-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 QUIVIRA RD STE 520",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152307",
            "telephone_number": "913-310-0482",
            "fax_number": "913-894-1330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 SE Blue Pkwy Ste 235",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640631041",
            "country_code": "US",
            "telephone_number": "913-310-0482 x100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDWEST PEDIATRIC SPECIALISTS P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "MICKELSON",
        "authorized_official_first_name": "MAKALI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "913-310-0482"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Neuroeducational Services
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• Midwest Orthopedic Network Kansas
• Midwest Pathology Associates LLC
• Midwest Perinatal Associates, P.a.
• Midwest Physical Therapy Specialists, LLC
• Midwest Physician Group, LLC
• Midwest Specialty Clinics Inc
• Midwest Surgery Center of Kansas City LLC

• Pediatric Gastroenterology Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Pediatric Gastroenterology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.