Healthcare Provider Details

I. General information

NPI: 1265722375
Provider Name (Legal Business Name): EMILY MARIE ANTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2011
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9100 W 74TH ST
SHAWNEE MISSION KS
66204-4004
US

IV. Provider business mailing address

10500 BARKLEY ST STE 222
OVERLAND PARK KS
66212-1838
US

V. Phone/Fax

Practice location:
  • Phone: 913-632-2230
  • Fax:
Mailing address:
  • Phone: 650-576-8139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number04-42323
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: