Healthcare Provider Details

I. General information

NPI: 1770605297
Provider Name (Legal Business Name): ENCOMPASS MEDICAL GROUP, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

373 W 101ST TER
KANSAS CITY MO
64114-4408
US

IV. Provider business mailing address

8550 MARSHALL DR SUITE 220
LENEXA KS
66214-1505
US

V. Phone/Fax

Practice location:
  • Phone: 816-942-8200
  • Fax: 816-942-0531
Mailing address:
  • Phone: 913-495-2220
  • Fax: 913-273-1153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberNA
License Number State

VIII. Authorized Official

Name: DAYNA L HODGDEN
Title or Position: CEO
Credential:
Phone: 913-495-2046