Healthcare Provider Details

I. General information

NPI: 1629469333
Provider Name (Legal Business Name): SUSAN DUYAR-AYERDI MD, MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUSAN DUYAR

II. Dates (important events)

Enumeration Date: 02/17/2015
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 WORNALL RD
KANSAS CITY MO
64111-3220
US

IV. Provider business mailing address

901 E 104TH ST # MS 400S
KANSAS CITY MO
64131-4517
US

V. Phone/Fax

Practice location:
  • Phone: 816-932-3300
  • Fax:
Mailing address:
  • Phone: 816-932-3300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number9883-851
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number2025011960
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: