Healthcare Provider Details

I. General information

NPI: 1417989674
Provider Name (Legal Business Name): ANDREW J NOSTI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19600 E 39TH ST S
INDEPENDENCE MO
64057-2301
US

IV. Provider business mailing address

8717 W 110TH ST STE 600
OVERLAND PARK KS
66210-2126
US

V. Phone/Fax

Practice location:
  • Phone: 816-698-7000
  • Fax: 913-438-2951
Mailing address:
  • Phone: 816-389-4130
  • Fax: 816-389-4140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number2006017168
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: