Healthcare Provider Details

I. General information

NPI: 1447511399
Provider Name (Legal Business Name): MEGAN M BAUMGARDNER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2012
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23401 PRAIRIE STAR PKWY STE 230B
LENEXA KS
66227-7268
US

IV. Provider business mailing address

23401 PRAIRIE STAR PKWY STE 230B
LENEXA KS
66227-7268
US

V. Phone/Fax

Practice location:
  • Phone: 913-632-9480
  • Fax: 913-632-9828
Mailing address:
  • Phone: 913-632-9480
  • Fax: 913-632-9828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number2022008927
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number05-39087
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number9407929
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: