Unknown Individual – Surgery Physician, NPI 1861543407
Surgery Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
20375, West 151st Street, Olathe, Johnson County, Kansas, 66061, United States
SUITE 463
OLATHE, KS 660617218
Phone: (913) 782-8577
Fax: (913) 782-2616
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 66061)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | KS | 45385 | Removal of polyps or growths of large bowel using an endoscope | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KS | |
| - | TN | |
| - | KS | |
| - | KS | |
| - | KS | |
| - | KS | |
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| - | MO |
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