Healthcare Provider Details

I. General information

NPI: 1437299062
Provider Name (Legal Business Name): OLATHE HEALTH PHYSICIANS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20805 W 151ST ST SUITE 400
OLATHE KS
66061-7249
US

IV. Provider business mailing address

20333 W 151ST ST
OLATHE KS
66061-5350
US

V. Phone/Fax

Practice location:
  • Phone: 913-780-4900
  • Fax: 913-780-0949
Mailing address:
  • Phone: 913-791-4461
  • Fax: 791-324-8656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. TIERNEY L. GRASSER
Title or Position: SENIOR VICE PRESIDENT/CFO
Credential:
Phone: 913-791-4461