Provider Demographics
NPI:1659578060
Name:ABERLE, NICHOLAS SEBASTIAN II (MD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:SEBASTIAN
Last Name:ABERLE
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:8919 PARALLEL PKWY STE 555
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66112-3628
Mailing Address - Country:US
Mailing Address - Phone:913-596-3940
Mailing Address - Fax:913-596-3730
Practice Address - Street 1:8919 PARALLEL PKWY
Practice Address - Street 2:SUITE 555
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66112-1636
Practice Address - Country:US
Practice Address - Phone:913-596-3940
Practice Address - Fax:913-596-3730
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-37583207XX0005X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS201106170AMedicaid
KSKA2935066/KA2934066Medicare UPIN