Provider Demographics
| NPI: | 1598784639 |
|---|---|
| Name: | OLATHE HEALTH PHYSICIANS, INC. |
| Entity type: | Organization |
| Organization Name: | OLATHE HEALTH PHYSICIANS, INC. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | VP/QUALITY & COMPLIANCE |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | CATHERINE |
| Authorized Official - Middle Name: | R |
| Authorized Official - Last Name: | WIENS |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 913-791-4459 |
| Mailing Address - Street 1: | 20333 WEST 151ST STREET |
| Mailing Address - Street 2: | |
| Mailing Address - City: | OLATHE |
| Mailing Address - State: | KS |
| Mailing Address - Zip Code: | 66061-5350 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 913-791-4461 |
| Mailing Address - Fax: | 913-324-8656 |
| Practice Address - Street 1: | 20333 W 151ST ST |
| Practice Address - Street 2: | |
| Practice Address - City: | OLATHE |
| Practice Address - State: | KS |
| Practice Address - Zip Code: | 66061-5350 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 913-791-4200 |
| Practice Address - Fax: | 913-324-8656 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2006-07-19 |
| Last Update Date: | 2020-03-22 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty | |
| No | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | Group - Multi-Specialty |
| No | 208600000X | Allopathic & Osteopathic Physicians | Surgery | Group - Multi-Specialty | |
| No | 208G00000X | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Group - Multi-Specialty | |
| No | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | Group - Multi-Specialty | |
| No | 2083P0011X | Allopathic & Osteopathic Physicians | Preventive Medicine | Undersea and Hyperbaric Medicine | Group - Multi-Specialty |
| No | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology | Group - Multi-Specialty |
| No | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | Group - Multi-Specialty |
| No | 207T00000X | Allopathic & Osteopathic Physicians | Neurological Surgery | Group - Multi-Specialty | |
| No | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Group - Multi-Specialty | |
| No | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology | Group - Multi-Specialty |
| No | 207LP2900X | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine | Group - Multi-Specialty |
| No | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | Group - Multi-Specialty | |
| No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty | |
| No | 207RE0101X | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| KS | 100179600K | Medicaid | |
| KS | 0330000D | Medicare PIN | |
| KS | 100179600K | Medicaid | |
| KS | N250000 | Medicare PIN |