Organization
MIDWEST PHYSICIAN GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA STARKS (BILLING MANAGER)
(913) 544-3122
Entity
Organization
Contact information
Practice address
8655 COLLEGE BLVD, OVERLAND PARK, KS 66210-1835
(913) 648-0073
Mailing address
8655 COLLEGE BLVD, OVERLAND PARK, KS 66210-1835
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207K00000X
Allergy & Immunology Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
2080S0012X
Pediatric Sleep Medicine Physician
—
—
Other
Enumeration date
03/21/2025
Last updated
04/01/2026
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