Healthcare Provider Details

I. General information

NPI: 1841481629
Provider Name (Legal Business Name): PATRICK ALAN NOSTI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2007
Last Update Date: 04/22/2021
Certification Date: 04/22/2021
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: 913-262-5014
  • Fax:
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 Number04-36288
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: