Basic Information
| Provider Information | |||||||||
| NPI: | 1841292497 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ARST | ||||||||
| FirstName: | HENRY | ||||||||
| MiddleName: | F | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8717 W 110TH ST | ||||||||
| Address2: | STE 500 | ||||||||
| City: | OVERLAND PARK | ||||||||
| State: | KS | ||||||||
| PostalCode: | 662101569 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9134691599 | ||||||||
| FaxNumber: | 9134691441 | ||||||||
| Practice Location | |||||||||
| Address1: | 8717 W 110TH ST | ||||||||
| Address2: | STE 500 | ||||||||
| City: | OVERLAND PARK | ||||||||
| State: | KS | ||||||||
| PostalCode: | 662101569 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9134691599 | ||||||||
| FaxNumber: | 9134691441 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/12/2005 | ||||||||
| LastUpdateDate: | 10/14/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 04-21086 | KS | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
ID Information
| ID | Type | State | Issuer | Description | 12309039 | 01 | MO | BCBS MO | OTHER | 207634601 | 05 | MO | MEDICAID |