Provider Demographics
NPI:1184332413
Name:SLEEP MEDICINE ASSOCIATES, P.A.
Entity type:Organization
Organization Name:SLEEP MEDICINE ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:COCANOWER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:812-573-3364
Mailing Address - Street 1:12685 W 146TH ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-7803
Mailing Address - Country:US
Mailing Address - Phone:812-573-3364
Mailing Address - Fax:
Practice Address - Street 1:11029 HAUSER ST
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66210-3708
Practice Address - Country:US
Practice Address - Phone:812-573-3364
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-07
Last Update Date:2023-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty