Provider Demographics
NPI:1447211438
Name:NEUROSURGERY ASSOCIATES OF KANSAS CHRTD
Entity Type:Organization
Organization Name:NEUROSURGERY ASSOCIATES OF KANSAS CHRTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:STRIEBINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-829-3311
Mailing Address - Street 1:20375 W 151ST ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-7218
Mailing Address - Country:US
Mailing Address - Phone:913-829-3311
Mailing Address - Fax:913-829-9150
Practice Address - Street 1:20375 W 151ST ST
Practice Address - Street 2:SUITE 205
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-7218
Practice Address - Country:US
Practice Address - Phone:913-829-3311
Practice Address - Fax:913-829-9150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSQ030000Medicare ID - Type Unspecified