Healthcare Provider Details

I. General information

NPI: 1770019937
Provider Name (Legal Business Name): MITCHELL A AYERS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2017
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8550 MARSHALL DR STE 200
LENEXA KS
66214-9836
US

IV. Provider business mailing address

8550 MARSHALL DR STE 220
LENEXA KS
66214-9836
US

V. Phone/Fax

Practice location:
  • Phone: 913-495-2000
  • Fax: 913-495-3715
Mailing address:
  • Phone: 913-495-2000
  • Fax: 913-495-3715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number04-47819
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: