Healthcare Provider Details

I. General information

NPI: 1124940770
Provider Name (Legal Business Name): ASCENTIST MIDWEST WORKERS COMPENSATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4550 W 109TH ST STE 250
OVERLAND PARK KS
66211-1350
US

IV. Provider business mailing address

4550 W 109TH ST STE 250
OVERLAND PARK KS
66211-1350
US

V. Phone/Fax

Practice location:
  • Phone: 913-322-3050
  • Fax: 833-468-5132
Mailing address:
  • Phone: 913-322-3050
  • Fax: 833-468-5132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: AMY STEHLI
Title or Position: DIRECTOR OPERATIONS, COMPLIANCE
Credential:
Phone: 913-322-3050