Organization
MIDWEST HOSPITAL SPECIALISTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS H SIMMONS M.D. (MEDICAL DIRECTOR)
(913) 660-1616
Entity
Organization
Contact information
Practice address
10901 GRANADA LN, STE. 200, OVERLAND PARK, KS 66211-1401
(913) 660-1616
(913) 660-1664
Mailing address
10901 GRANADA LN, STE. 200, OVERLAND PARK, KS 66211-1401
(913) 660-1616
(913) 660-1664
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100357430A
—
KS
05
—
100357430B
—
KS
01
—
177826001
DOL FECA
—
01
—
177826002
OWCP DEEOIC DOL
—
01
—
24826016
BCBS
—
05
—
504676008
—
MO
01
—
CG6035
RR MCR
MO
01
—
DB3032
RR MCR
KS
Enumeration date
08/31/2005
Last updated
10/06/2008
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