Provider Demographics
NPI:1073534772
Name:NAUER, PAULA L (MD)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:L
Last Name:NAUER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8550 MARSHALL DR
Mailing Address - Street 2:SUITE 220 ADMINISTRATION
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66214-1505
Mailing Address - Country:US
Mailing Address - Phone:913-495-2000
Mailing Address - Fax:913-495-3715
Practice Address - Street 1:8550 MARSHALL DR
Practice Address - Street 2:SUITE 200
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66214-1505
Practice Address - Country:US
Practice Address - Phone:913-495-2000
Practice Address - Fax:913-495-3715
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-17626207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOP00825111OtherRR MEDICARE
MOP00825111OtherRR MEDICARE
KSK673933AMedicare PIN
C51730Medicare UPIN
KSP00152849Medicare PIN