Individual
DR. STUART MARK GAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20333 W 151ST ST, OLATHE, KS 66061-5350
(913) 791-4357
(913) 791-4435
Mailing address
PO BOX 716, OVERLAND PARK, KS 66201-0716
(913) 642-4900
(913) 381-0979
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04-26382
KS
207P00000X
Emergency Medicine Physician
52009
SC
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
0426382
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100289450B
—
KS
05
—
100289450C
—
KS
05
—
1982712543
—
MO
01
—
23896031
BCBSKC
KS
01
—
5165400
AETNA
KS
01
—
930110421
RR MEDICARE
KS
01
—
P00812184
RR MEDICARE-WHA
KS
Enumeration date
08/25/2006
Last updated
04/17/2025
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