=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831362961
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AMY SACHAU MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/09/2008
-----------------------------------------------------
Last Update Date | 09/05/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8200 W. 71ST ST STREET STE 135
-----------------------------------------------------
City | OVERLAND PARK
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66204
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-549-9970
-----------------------------------------------------
Fax | 913-440-4749
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8200 W. 71ST ST. STE 135
-----------------------------------------------------
City | SHAWNEE MISSION
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66204
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-549-9970
-----------------------------------------------------
Fax | 913-440-4749
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | 04-34210
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------