Healthcare Provider Details

I. General information

NPI: 1063683902
Provider Name (Legal Business Name): SUNFLOWER MEDICAL GROUP, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2008
Last Update Date: 03/24/2021
Certification Date: 03/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5675 ROE BLVD SUITE 100
ROELAND PARK KS
66205
US

IV. Provider business mailing address

5675 ROE BLVD SUITE 100
ROELAND PARK KS
66205
US

V. Phone/Fax

Practice location:
  • Phone: 913-432-2080
  • Fax: 913-432-5183
Mailing address:
  • Phone: 913-432-2080
  • Fax: 913-432-5183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number StateKS
# 4
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number
License Number StateKS
# 5
Primary TaxonomyN
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number
License Number StateKS
# 6
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM F TAYLOR
Title or Position: PRESIDENT
Credential: M.D.
Phone: 913-299-3700