# ASCENTIST PHYSICIANS GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ascentist Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649206319
- **Authorized official:** SARAH MIKULICH (DIRECTOR OF CREDENTIALING)
- **Authorized official phone:** (913) 392-2246

## Contact information

- **Practice address:** 4880 NE GOODVIEW CIRCLE, LEES SUMMIT, MO 64064
- **Practice address phone:** (816) 478-4200
- **Practice address fax:** (816) 845-2597
- **Mailing address:** 5101 COLLEGE BLVD, LEAWOOD, KS 66211-1614
- **Mailing address phone:** (816) 875-2599
- **Mailing address fax:** (816) 875-2597

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | — |
| 207K00000X | Allergy & Immunology Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207RI0200X | Infectious Disease Physician | — | NULL | — |
| 207RI0200X | Infectious Disease Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |
| 207YX0901X | Otology & Neurotology Physician | — | NULL | — |
| 207YX0901X | Otology & Neurotology Physician | — | — | — |
| 208200000X | Plastic Surgery Physician | — | NULL | — |
| 208200000X | Plastic Surgery Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |
| 231H00000X | Audiologist | — | NULL | — |
| 231H00000X | Audiologist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 2471C3401X | Computed Tomography Radiologic Technologist | — | NULL | — |
| 2471C3401X | Computed Tomography Radiologic Technologist | — | — | — |

## Other

- **Enumeration date:** 06/24/2006
- **Last updated:** 08/01/2025