MEDICARE: EMILY JEAN BAUER HOLTHUS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	04-34655	KS
2	174400000X	Specialist	04-34655	KS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A22000006	OTHER	KS	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912165119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY JEAN BAUER HOLTHUS MD

Provider Business Mailing Address
First Line	:	10550 QUIVIRA RD
Second Line	:	SUITE 410
City	:	OVERLAND PARK
State	:	KS
Zip	:	66215-2306
Country	:	US
Telephone Number	:	913-541-0990
Fax Number	:	913-541-1452

Provider Business Practice Location Address
First Line	:	10550 QUIVIRA RD
Second Line	:	SUITE 410
City	:	OVERLAND PARK
State	:	KS
Zip	:	66215-2306
Country	:	US
Telephone Number	:	913-541-0990
Fax Number	:	913-541-1452

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2008
Last Update Date	:	06/10/2026

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Directions to “ EMILY JEAN BAUER HOLTHUS MD” Practice Location

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