Organization
ASCENTIST PHYSICIANS GROUP, LLC
Active
Other names
Ascentist Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH MIKULICH (DIRECTOR OF CREDENTIALING)
(913) 392-2246
Entity
Organization
Contact information
Practice address
4880 NE GOODVIEW CIRCLE, LEES SUMMIT, MO 64064
(816) 478-4200
(816) 845-2597
Mailing address
5101 COLLEGE BLVD, LEAWOOD, KS 66211-1614
(816) 875-2599
(816) 875-2597
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
Primary
—
—
207YX0901X
Otology & Neurotology Physician
—
—
208200000X
Plastic Surgery Physician
—
—
208600000X
Surgery Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
2471C3401X
Computed Tomography Radiologic Technologist
—
—
Other
Enumeration date
06/24/2006
Last updated
08/01/2025
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