Active NPI
Lon C McCroskey, LON MCCROSKEY, M.D.
- Specialist
- Overland Park, KS
National Provider Identifier
1992757629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0419116
- Practice address
- 5701 W 119TH St
Ste. 331
Overland Park, KS 66209-3721 - Phone
- (913) 696-1146
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0419116 | KS | Primary |
| Specialist | 174400000X | R4B94 | MO |
Addresses
Primary practice location
5701 W 119TH St
Ste. 331
Overland Park, KS 66209-3721
Mailing address
6613 Wenonga
Shawnee Mission, KS 66208
Phone (913) 384-3308
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100204810B | Medicaid | KS | |
| 202268629 | Medicaid | MO |
Other names 1
- Mr. Lon McCroskey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0419116 | KS | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas City General and Vascular Surgeons, P.a. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Overland Park, KS
- NPI 1992778526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279584000000",
"number": "1992757629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6613 WENONGA",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "66208",
"telephone_number": "913-384-3308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 W 119TH ST",
"address_2": "STE. 331",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662093721",
"telephone_number": "913-696-1146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCROSKEY",
"first_name": "LON",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "LON MCCROSKEY, M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2010-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KS",
"license": "0419116",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "R4B94",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100204810B",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202268629",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LON",
"last_name": "MCCROSKEY",
"prefix": "MR.",
"credential": "LON MCCROSKEY",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.