Basic Information
Provider Information
NPI: 1477633063
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REUSCH
FirstName: URSULA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10540 MARTY ST
Address2: STE 100
City: OVERLAND PARK
State: KS
PostalCode: 662122551
CountryCode: US
TelephoneNumber: 9136601616
FaxNumber: 9136600998
Practice Location
Address1: 8929 PARALLEL PKWY
Address2:  
City: KANSAS CITY
State: KS
PostalCode: 661121689
CountryCode: US
TelephoneNumber: 9135964860
FaxNumber: 9135964635
Other Information
ProviderEnumerationDate: 10/17/2006
LastUpdateDate: 07/19/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0003X064961GAN Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
207R00000X04-38871KSY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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