Provider Demographics
NPI:1083970172
Name:ALBRECHT, MICHAEL AARON (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:AARON
Last Name:ALBRECHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7250 RICHARDS DR
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66216-2638
Mailing Address - Country:US
Mailing Address - Phone:913-707-0018
Mailing Address - Fax:
Practice Address - Street 1:2000 OLATHE BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160
Practice Address - Country:US
Practice Address - Phone:913-945-8184
Practice Address - Fax:913-588-6055
Is Sole Proprietor?:No
Enumeration Date:2012-04-03
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-37892208M00000X
390200000X
KS0437892207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0437892OtherKS BOHA