LARRY KURT MIDYETT (NPI# 1174555957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174555957 |
| Entity Type | Individual |
| Full Name | LARRY KURT MIDYETT |
| Credential | M.D. |
| Practice Address |
12330 Metcalf Ave Ste. 500 Overland Park KS 66213-1324 |
| Mailing Address |
10550 Quivira Rd Ste 520 Overland Park KS 66215-2307 |
| Practice Telephone | 9133173170 |
| Practice Fax Number | 9133173192 |
| Mailing Telephone | 9133100482 |
| Mailing Fax Number | 9138941330 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2017-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
04-29123 | KS | Allopathic & Osteopathic Physicians |
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
2001016013 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 208309708 | 05 |
| Street Address |
12330 METCALF AVE STE. 500 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66213-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023012523 | Stephen M Gordon | Obstetrics & Gynecology | 12330 Metcalf Ave, Ste. 420, Overland Park, KS 66213-1324 | 2005-06-13 |
| 1336592930 | Ashley Irene Heimsoth | Nurse Practitioner | 12330 Metcalf Ave, Ste. 400, Overland Park, KS 66213-1324 | 2016-07-19 |
| 1104160365 | Crystal Krueger | Nurse Practitioner | 12330 Metcalf Ave, Suite 400, Overland Park, KS 66213-1324 | 2012-11-12 |
| 1952656977 | Jennifer Rose Kenz Litwin | Obstetrics & Gynecology | 12330 Metcalf Ave, Ste. 420, Overland Park, KS 66213-1324 | 2012-07-16 |
| 1497061030 | Family Health Medical Group of Overland Park, LLC | Family Medicine | 12330 Metcalf Ave, Suite 500, Overland Park, KS 66213-1324 | 2010-08-20 |
| 1699903690 | Deepthi Vodnala | Internal Medicine | 12330 Metcalf Ave, Suite 280, Overland Park, KS 66213 | 2009-06-29 |
| 1093922098 | Debbra D. Bazata | Dietitian, Registered | 12330 Metcalf Ave, Ste. 500, Overland Park, KS 66213-1324 | 2007-05-17 |
| 1871712380 | Richard B. Price, M.d., P.a. | Otolaryngology | 12330 Metcalf Ave, Suite 550, Overland Park, KS 66213-1324 | 2007-04-24 |
| 1700930476 | Tamera L Nation | Nurse Practitioner | 12330 Metcalf Ave, Ste. 420, Overland Park, KS 66213-1324 | 2007-01-22 |
| 1871674598 | Cardiovascular Conltants, PC | Internal Medicine | 12330 Metcalf Ave, Suite 280, Overland Park, KS 66213-1324 | 2006-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003345372 | Nicole Renee Oliphant | Speech-Language Pathologist | 12810 W 133 Pl Apt 3109, Overland Park, KS 66213 | 2017-06-08 |
| 1770026874 | Alyssa Potter | Physical Therapy Assistant | 12202 Goodman St, Overland Park, KS 66213 | 2016-11-22 |
| 1164809380 | Jessica Richter | Family Medicine | 10100 W 119th St Ste 150, Overland Park, KS 66213 | 2015-04-27 |
| 1891180816 | Naresh Kumar Dugal | Podiatrist | 13410 Westgate St Apt 2110, Overland Park, KS 66213 | 2015-04-06 |
| 1801219456 | Denise Ahnen | Lactation Consultant, Non-RN | 121300 Metcalf Ave, Overland Park, KS 66213 | 2014-01-31 |
| 1407294986 | Blue Valley Asc, P.a. | Clinic/Center | 12800 Metcalf Avenue Suite 2, Overland Park, KS 66213 | 2013-06-06 |
| 1023455326 | Duncan Arnold Killen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12542 W. 123rd Terr., Overland Park, KS 66213 | 2013-05-28 |
| 1821432345 | Seniorbridge Family Companies (mo), Inc. | In Home Supportive Care | 7304 W. 130th Street, Suite 100, Overland Park, KS 66213 | 2013-04-26 |
| 1538427273 | Charles E Emms D.c., Pa | Chiropractor | 11960 West 119th Street, 11960, Overland Park, KS 66213 | 2012-05-01 |
| 1194000570 | Phoenix Healthcare Clinic | Family Medicine | 11960 Quivira Road, Suite #100, Overland Park, KS 66213 | 2011-10-17 |
| Find all providers in zip 66213 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649448341 | Katarina Gambosova | Pediatrics | 346 Maine St # 160, Lawrence, KS 66044-1393 | 2008-02-15 |
| 1245430933 | Angela Elaine Santiago Lennon | Pediatrics | 3901 Rainbow Blvd # Ms 3063, Kansas City, KS 66160-0001 | 2007-07-20 |
| 1093338691 | Dr G Medical Pa | Pediatrics | 346 Maine St # 160, Lawrence, KS 66044-1393 | 2020-05-19 |
| 1285065888 | Lina Saadeh | Pediatrics | 3243 E Murdock St Ste 201, Wichita, KS 67208 | 2013-12-06 |
| 1689942518 | Patria Mercedes Alba Aponte | Pediatrics | 3520 Sw 6th Ave, Topeka, KS 66606-2806 | 2011-12-07 |
| 1972883106 | Naziya Tahseen | Pediatrics | 3520 Sw 6th Ave, Topeka, KS 66606-2806 | 2011-08-19 |
| 1710916341 | Kenneth D Dykstra | Pediatrics | 3243 E Murdock St, Suite #500, Wichita, KS 67208-3052 | 2006-07-03 |
| City | OVERLAND PARK |
| Zip Code | 66213 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.