Provider Demographics
NPI:1073564209
Name:MIDWEST CARDIOLOGY SPECIALISTS, LLC
Entity Type:Organization
Organization Name:MIDWEST CARDIOLOGY SPECIALISTS, LLC
Other - Org Name:MIDWEST CARDIOLOGY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHARF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-253-3000
Mailing Address - Street 1:5701 W 119TH ST
Mailing Address - Street 2:SUITE 430
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66209-3722
Mailing Address - Country:US
Mailing Address - Phone:913-253-3000
Mailing Address - Fax:913-663-2980
Practice Address - Street 1:5701 W 119TH ST
Practice Address - Street 2:SUITE 430
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66209-3722
Practice Address - Country:US
Practice Address - Phone:913-253-3000
Practice Address - Fax:913-663-2980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS067821OtherBCBS OF KS #
MO501436406EMedicaid
MO501436414DMedicaid
KSKS-DQ2161OtherRAIL ROAD MEDICARE
MO43187017OtherBCBS OF KC
KS110614OtherKS OUTREACH #
MOMO-DQ2452OtherRAIL ROAD MEDICARE
MO00335042OtherBCBS OF KC
KS100213610AMedicaid
MO501436406AMedicaid
KSKS-DQ2161OtherRAIL ROAD MEDICARE
MO4500000AMedicare ID - Type UnspecifiedMO GROUP MEDICARE #
KSCC8570Medicare ID - Type UnspecifiedKS RAILROAD MEDICARE
MO4500000EMedicare ID - Type UnspecifiedMO MEDICARE
MOMO-DQ2452OtherRAIL ROAD MEDICARE