MEDICARE: UNIVERSITY OF KANSAS HOSPITAL AUTHORITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	2103863	KS

General Provider Information

NPI Number	:	1700395878
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF KANSAS HOSPITAL AUTHORITY

Provider Business Mailing Address
First Line	:	3901 RAINBOW BLVD
Second Line	:	MAIL STOP 4040
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-8500
Country	:	US
Telephone Number	:	913-588-2361
Fax Number	:	913-588-2385

Provider Business Practice Location Address
First Line	:	3825 CAMBRIDGE ST
Second Line	:	STE 1333
City	:	KANSAS CITY
State	:	KS
Zip	:	66103-2883
Country	:	US
Telephone Number	:	913-574-3100
Fax Number	:	913-574-3182

Authorized Official
Title or Position	:	ASSISTANT DIRECTOR
Name	:	JAMIE JOHNSON
Credential	:
Telephone Number	:	785-760-3318

Provider Enumeration Date	:	09/21/2017
Last Update Date	:	04/01/2022

Similar Medicare Providers

1104193770 — JENNIFER D MYERS LMT
Practice Location Address:

1485 COMMERCE PARK DR , SUITE B
TIPP CITY, OH
45371-2883

Practice Phone: 937-689-3971
Practice Fax:

1295088078 — FRED M. SACKS, PH.D. & ASSOCIATES
Practice Location Address:

1485 COMMERCE PARK DR
TIPP CITY, OH
45371-2883

Practice Phone: 937-667-5126
Practice Fax: 937-667-7583

1306498654 — JARRED J ENTRINGER
Practice Location Address:

2725 S 700 E APT K
SALT LAKE CITY, UT
84106-2883

Practice Phone: 605-261-8734
Practice Fax:

1710700141 — JENNA DIANE WIGGINS
Practice Location Address:

2883 FONTANA RD
BRYSON CITY, NC
28713-6349

Practice Phone: 828-736-2880
Practice Fax:

1558403717 — JANA KATHRYN ZAUDKE M.D.
Practice Location Address:

340 SOUTHWEST BLVD
KANSAS CITY, KS
66103

Practice Phone: 913-342-2552
Practice Fax: 913-371-8152

1396206868 — MATTHEW THOMAS DE RUYTER MD
Practice Location Address:

2060 W 39TH AVE
KANSAS CITY, KS
66103-2943

Practice Phone: 913-588-5000
Practice Fax:

Directions to “UNIVERSITY OF KANSAS HOSPITAL AUTHORITY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.