Provider Demographics
NPI:1326190182
Name:G.I. SPECIALISTS P.A.
Entity Type:Organization
Organization Name:G.I. SPECIALISTS P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:A
Authorized Official - Last Name:O'LEARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-393-9898
Mailing Address - Street 1:20375 W 151ST ST STE 354
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-7207
Mailing Address - Country:US
Mailing Address - Phone:913-393-9898
Mailing Address - Fax:913-393-9893
Practice Address - Street 1:20375 W 151ST ST STE 354
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-7207
Practice Address - Country:US
Practice Address - Phone:913-393-9898
Practice Address - Fax:913-393-9893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS15163037OtherBCBS
KSP650000Medicare ID - Type Unspecified