Provider Demographics
NPI:1194717223
Name:LIENHOP, TERRY EUGENE (DO)
Entity type:Individual
Prefix:DR
First Name:TERRY
Middle Name:EUGENE
Last Name:LIENHOP
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:TERRENCE
Other - Middle Name:EUGENE
Other - Last Name:LIENHOP
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10975 BENSON DR
Mailing Address - Street 2:SUITE 250
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210
Mailing Address - Country:US
Mailing Address - Phone:913-469-1488
Mailing Address - Fax:913-469-1441
Practice Address - Street 1:409 W AUBERRY GRV
Practice Address - Street 2:
Practice Address - City:JAMESPORT
Practice Address - State:MO
Practice Address - Zip Code:64648-7189
Practice Address - Country:US
Practice Address - Phone:660-684-6252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003021691207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO33420011OtherBCBS MO
MON77D005Medicare ID - Type Unspecified
MO245183215Medicare ID - Type Unspecified
H04750Medicare UPIN