Unknown Individual – Family Medicine Physician, NPI 1881658748
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
10640, West 87th Street, Overland Park, Johnson County, Kansas, 66214, United States
OVERLAND PARK, KS 662141651
Phone: (913) 888-0780
Fax: (913) 888-3402
Type: Location
Shawnee Mission Post Office, 6029, Broadmoor Street, Mission, Johnson County, Kansas, 66202, United States
SHAWNEE MISSION, KS 662011858
Phone: (913) 248-9693
Fax: (913) 248-9383
Type: Mailing
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
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 66214)
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