Organization
MIDWEST ORTHOPAEDICS, P.A.
Active
Other names
Shawnee Mission Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA SACK MHSA (EXECUTIVE DIRECTOR)
(913) 362-8317
Entity
Organization
Contact information
Practice address
7450 KESSLER ST STE 140, MERRIAM, KS 66204-2519
(913) 362-8317
(913) 362-0169
Mailing address
7450 KESSLER ST STE 140, MERRIAM, KS 66204-2519
(913) 362-8317
(913) 362-0169
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100212290A
—
KS
05
—
2053003201
—
KS
01
—
CP8325
RAILROAD MEDICARE
—
Enumeration date
02/28/2006
Last updated
05/21/2021
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