Provider Demographics
NPI:1942354014
Name:HEAD & NECK SURGERY OF KANSAS CITY P A
Entity Type:Organization
Organization Name:HEAD & NECK SURGERY OF KANSAS CITY P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-599-4800
Mailing Address - Street 1:5370 COLLEGE BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1935
Mailing Address - Country:US
Mailing Address - Phone:913-599-4800
Mailing Address - Fax:913-599-2992
Practice Address - Street 1:5370 COLLEGE BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1935
Practice Address - Country:US
Practice Address - Phone:913-599-4800
Practice Address - Fax:913-599-2992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & NeckGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
E520000Medicare ID - Type UnspecifiedGROUP NUMBER