Healthcare Provider Details

I. General information

NPI: 1134462542
Provider Name (Legal Business Name): UROGYNECOLOGY & RECONSTRUCTIVE PELVIC SURGERY OF KANSAS CITY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2013
Last Update Date: 04/22/2021
Certification Date: 07/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10707 W 87TH ST
OVERLAND PARK KS
66214-1652
US

IV. Provider business mailing address

10707 W 87TH ST
OVERLAND PARK KS
66214-1652
US

V. Phone/Fax

Practice location:
  • Phone: 913-262-3000
  • Fax: 913-262-3002
Mailing address:
  • Phone: 913-262-3000
  • Fax: 913-262-3002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PATRICK ALAN NOSTI
Title or Position: MANAGER
Credential: M.D.
Phone: 913-262-3000