Provider Demographics
NPI:1528254497
Name:HUGH W. MCCAUGHEY MD PA
Entity type:Organization
Organization Name:HUGH W. MCCAUGHEY MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HUGH
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:MCCAUGHERY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-491-3724
Mailing Address - Street 1:5701 W 119TH ST STE 150
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66209-3750
Mailing Address - Country:US
Mailing Address - Phone:913-491-3724
Mailing Address - Fax:
Practice Address - Street 1:5701 W 119TH ST STE 150
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66209-3750
Practice Address - Country:US
Practice Address - Phone:913-491-3724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-10491261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
C 50089Medicare UPIN