Emily Suzanne Mathiesen, M.D.

Specialist · Olathe, KS

Individual Active NPI

NPI number 1053636092

Practice location

21120 W 152ND St Ste 201
Olathe, KS 66061
Phone
(913) 491-4020
Fax
(913) 491-4725

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NPI record

NPI
1053636092
Entity type
Individual (Type 1)
Enumeration date
April 1, 2010
Last updated
March 22, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X 04-39438 KS
Specialist 174400000X 2014015770 MO

Mailing address

9301 W 74TH St Ste 320
Overland Park, KS 66204-2207
Phone
(913) 491-4020
Fax
(913) 491-4725

Other practice locations (1)

  • 20375 W 151st St, Suite 409, Olathe, KS 66061-5306 · (913) 491-4020

About Dr. Mathiesen

Emily Suzanne Mathiesen, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 21120 W 152ND St Ste 201, Olathe, KS 66061. The NPI number 1053636092 was assigned on April 1, 2010 and the record was last updated on March 22, 2019.

Dr. Mathiesen lists 2 licenses in the registry: #04-39438 (KS) for Specialist; #2014015770 (MO) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Emily Suzanne Mathiesen, M.D.?

The NPI number is 1053636092.

What is the phone number of Dr. Mathiesen?

The phone number listed for the practice location is (913) 491-4020.

Where is Dr. Mathiesen located?

21120 W 152ND St Ste 201, Olathe, KS 66061.

What is the taxonomy code for Dr. Mathiesen?

The primary taxonomy code is 174400000X – Specialist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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