Healthcare Provider Details

I. General information

NPI: 1386878643
Provider Name (Legal Business Name): THOMAS CHAMPION M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2009
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 RAINBOW BLVD MS 1034 KANSAS UNIVERSITY MEDICAL CTR
KANSAS CITY KS
66160-0001
US

IV. Provider business mailing address

KANSAS UNIVERSITY MEDICAL CTR 3901 RAINBOW BLVD MS 1034
KANSAS CITY KS
66160-0001
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-6670
  • Fax:
Mailing address:
  • Phone: 913-588-6670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number04-34672
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number2017014040
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number04-34672
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: