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  7. NPI Record 1649206319

ASCENTIST HEALTHCARE
Complete NPI Record 1649206319
Otolaryngology in Lees Summit, MO

NPI Status: Active since June 24, 2006

Contact Information

4880 NE GOODVIEW CIRCLE
LEES SUMMIT, MO
ZIP 64064
Phone: (816) 478-4200
Fax: (816) 845-2597

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider Other Organization Name
  6. Provider Other Organization Name Type Code
  7. Provider First Line Business Mailing Address
  8. Provider Business Mailing Address City Name
  9. Provider Business Mailing Address State Name
  10. Provider Business Mailing Address Postal Code
  11. Provider Business Mailing Address Country Code If outside U S
  12. Provider Business Mailing Address Telephone Number
  13. Provider Business Mailing Address Fax Number
  14. Provider First Line Business Practice Location Address
  15. Provider Business Practice Location Address City Name
  16. Provider Business Practice Location Address State Name
  17. Provider Business Practice Location Address Postal Code
  18. Provider Business Practice Location Address Country Code If outside U S
  19. Provider Business Practice Location Address Telephone Number
  20. Provider Business Practice Location Address Fax Number
  21. Provider Enumeration Date
  22. Last Update Date
  23. Authorized Official Last Name
  24. Authorized Official First Name
  25. Authorized Official Title or Position
  26. Authorized Official Telephone Number
  27. Healthcare Provider Taxonomy Code 1
  28. Healthcare Provider Primary Taxonomy Switch 1
  29. Healthcare Provider Taxonomy Code 2
  30. Healthcare Provider Primary Taxonomy Switch 2
  31. Healthcare Provider Taxonomy Code 3
  32. Healthcare Provider Primary Taxonomy Switch 3
  33. Healthcare Provider Taxonomy Code 4
  34. Healthcare Provider Primary Taxonomy Switch 4
  35. Healthcare Provider Taxonomy Code 5
  36. Healthcare Provider Primary Taxonomy Switch 5
  37. Healthcare Provider Taxonomy Code 6
  38. Healthcare Provider Primary Taxonomy Switch 6
  39. Healthcare Provider Taxonomy Code 7
  40. Healthcare Provider Primary Taxonomy Switch 7
  41. Healthcare Provider Taxonomy Code 8
  42. Healthcare Provider Primary Taxonomy Switch 8
  43. Healthcare Provider Taxonomy Code 9
  44. Healthcare Provider Primary Taxonomy Switch 9
  45. Healthcare Provider Taxonomy Code 10
  46. Healthcare Provider Primary Taxonomy Switch 10
  47. Healthcare Provider Taxonomy Code 11
  48. Healthcare Provider Primary Taxonomy Switch 11
  49. Healthcare Provider Taxonomy Code 12
  50. Healthcare Provider Primary Taxonomy Switch 12
  51. Healthcare Provider Taxonomy Code 13
  52. Healthcare Provider Primary Taxonomy Switch 13
  53. Healthcare Provider Taxonomy Code 14
  54. Healthcare Provider Primary Taxonomy Switch 14
  55. Healthcare Provider Taxonomy Code 15
  56. Healthcare Provider Primary Taxonomy Switch 15
  57. Is Organization Subpart
  58. Healthcare Provider Taxonomy Group 1
  59. Healthcare Provider Taxonomy Group 2
  60. Healthcare Provider Taxonomy Group 3
  61. Healthcare Provider Taxonomy Group 4
  62. Healthcare Provider Taxonomy Group 5
  63. Healthcare Provider Taxonomy Group 6
  64. Healthcare Provider Taxonomy Group 7
  65. Healthcare Provider Taxonomy Group 8
  66. Healthcare Provider Taxonomy Group 9
  67. Healthcare Provider Taxonomy Group 10
  68. Healthcare Provider Taxonomy Group 11
  69. Healthcare Provider Taxonomy Group 12
  70. Healthcare Provider Taxonomy Group 13
  71. Healthcare Provider Taxonomy Group 14
  72. Healthcare Provider Taxonomy Group 15
  73. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1649206319. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1649206319
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 2
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN: UNAVAIL
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider Other Organization Name: ASCENTIST HEALTHCARE
Other name by which the organization provider is or has been known.
Provider Other Organization Name Type Code: 3
Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing Address: 5101 COLLEGE BLVD
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: LEAWOOD
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: KS
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 662111614
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 8168752599
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Fax Number: 8168752597
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Line Business Practice Location Address: 4880 NE GOODVIEW CIRCLE
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: LEES SUMMIT
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: MO
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 64064
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 8164784200
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 8168452597
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 6/24/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 9/3/2024
The date that a record was last updated or changed.
Authorized Official Last Name: MIKULICH
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: SARAH
The first name of the authorized official.
Authorized Official Title or Position: DIRECTOR OF CREDENTIALING
The title or position of the authorized official.
Authorized Official Telephone Number: 9133922246
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 207K00000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: N
Healthcare Provider Taxonomy Code 2: 207LP2900X
Healthcare Provider Primary Taxonomy Switch 2: N
Healthcare Provider Taxonomy Code 3: 207Q00000X
Healthcare Provider Primary Taxonomy Switch 3: N
Healthcare Provider Taxonomy Code 4: 207RI0200X
Healthcare Provider Primary Taxonomy Switch 4: N
Healthcare Provider Taxonomy Code 5: 207RP1001X
Healthcare Provider Primary Taxonomy Switch 5: N
Healthcare Provider Taxonomy Code 6: 207RS0012X
Healthcare Provider Primary Taxonomy Switch 6: N
Healthcare Provider Taxonomy Code 7: 207X00000X
Healthcare Provider Primary Taxonomy Switch 7: N
Healthcare Provider Taxonomy Code 8: 207Y00000X
Healthcare Provider Primary Taxonomy Switch 8: Y
Healthcare Provider Taxonomy Code 9: 207YX0901X
Healthcare Provider Primary Taxonomy Switch 9: N
Healthcare Provider Taxonomy Code 10: 208200000X
Healthcare Provider Primary Taxonomy Switch 10: N
Healthcare Provider Taxonomy Code 11: 208600000X
Healthcare Provider Primary Taxonomy Switch 11: N
Healthcare Provider Taxonomy Code 12: 213ES0103X
Healthcare Provider Primary Taxonomy Switch 12: N
Healthcare Provider Taxonomy Code 13: 231H00000X
Healthcare Provider Primary Taxonomy Switch 13: N
Healthcare Provider Taxonomy Code 14: 235Z00000X
Healthcare Provider Primary Taxonomy Switch 14: N
Healthcare Provider Taxonomy Code 15: 2471C3401X
Healthcare Provider Primary Taxonomy Switch 15: N
Is Organization Subpart: N
Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 3: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 4: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 5: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 6: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 7: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 8: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 9: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 10: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 11: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 12: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 13: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 14: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 15: 193200000X MULTI-SPECIALTY GROUP
NPI Certification Date: 9/3/2024