GALEN M. CUSTER


Address: 12200 W 110th St, Overland Park, KS 66210-4045
Phone: 9135742650

GALEN M. CUSTER (NPI# 1245202787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245202787
Entity Type Individual
Full Name GALEN M. CUSTER
Credential M.D.
Practice Address 12200 W 110th St
Overland Park
KS 66210-4045
Mailing Address 9200 Indian Creek Pkwy
Building 9, Suite 300
Overland Park
KS 66210-2002
Practice Telephone 9135742650
Practice Fax Number 9135742769
Mailing Telephone 9135742800
Mailing Fax Number 9135742336
Enumeration Date 2006-02-07
Last Update Date 2016-05-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
101826 MO Allopathic & Osteopathic Physicians
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
04-24997 KS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KS 100192750C 05
MO 1245202787 05

Office Location

Street Address 12200 W 110TH ST
City OVERLAND PARK
State KS
Zip Code 66210-4045

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710960901 Laboratory Corporation of America Holdings Clinical Medical Laboratory 12200 W 110th St, Overland Park, KS 66210-4045 2005-11-22
1881136794 Nichola Elena Joubert-rockett Registered Nurse 12200 W 110th St, Overland Park, KS 66210-4045 2016-11-09
1609112838 Christina Elizabeth Schmidt Nurse Practitioner 12200 W 110th St, Overland Park, KS 66210-4045 2012-12-16
1285989590 Carolyn K Savioz Radiology 12200 W 110th St, Overland Park, KS 66210-4045 2012-07-24
1609151216 Laura M. Davidson Registered Nurse 12200 W 110th St, Overland Park, KS 66210-4045 2011-10-14
1093003675 University of Kansas Hospital Authority Pharmacy 12200 W 110th St, Overland Park, KS 66210-4045 2011-07-15
1265695183 Benjamin C Powers Internal Medicine 12200 W 110th St, Overland Park, KS 66210-4045 2008-07-10
1386806941 Marc S Hoffmann Internal Medicine 12200 W 110th St, Overland Park, KS 66210-4045 2008-06-25
1225299126 Gregory James Crane Internal Medicine 12200 W 110th St, Overland Park, KS 66210-4045 2008-06-23
1740453133 Elizabeth W. Ng Internal Medicine 12200 W 110th St, Overland Park, KS 66210-4045 2008-04-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437794302 Sme Kansas P.a. General Practice 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 2019-11-14
1417591165 Refractive Cataract Center, LLC Clinic/Center 8300 College Boulevard, Suite 201, Overland Park, KS 66210 2019-11-05
1336705730 Above & Beyond In-home Kansas, LLC In Home Supportive Care 7300 W. 110th Street, Suite 700, Overland Park, KS 66210 2019-05-13
1528531720 Sarah J Sievers Acupuncturist 4800 W. 135th St. Suite 200, Leawood, Ks 66224, KS 66210 2019-01-10
1790286326 Sarah E Hamilton Physician Assistant 8490 College Boulevard, Overland, KS 66210 2018-02-28
1730600750 True Health and Wellness, LLC Family Medicine 11879 W. 112th Street, Suite 100, Overland Park, KS 66210 2017-06-29
1639610603 Kayla Jolene Lawrance Advanced Practice Midwife 9202 W. 110th St., Building 36, Overland Park, KS 66210 2017-03-10
1972041952 Ccrc of Cedar Rapids, LLC Skilled Nursing Facility 11827 W 112th St, Suite 103, Overland Park, KS 66210 2017-02-09
1396122008 Laurie Jean Sansom Counselor 8575 W. 110th, Ste. 218, Overland Park, KS 66210 2015-05-01
1790181063 Susan J. Anderson, Psy.d., Pa Psychologist 8500 W. 100th Street, 540, Overland Park, KS 66210 2014-11-13
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033408695 University of Kansas Hospital Authority Internal Medicine 9200 Indian Creek Pkwy, Bldg 9 Ste. 300, Overland Park, KS 66210-2036 2011-04-05
1255302709 Larry J. Geier Internal Medicine 13212 Barkley St, Overland Park, KS 66209-3912 2006-01-31
1841654258 Dr Ets Concierge Care LLC Internal Medicine 12140 Nall Ave, Suite 305, Overland Park, KS 66209-2503 2016-04-12
1073856738 Simran Jyot Arora Elder Internal Medicine 9301 W 74th St Ste 100, Overland Park, KS 66204-2217 2013-04-01
1265695183 Benjamin C Powers Internal Medicine 12200 W 110th St, Overland Park, KS 66210-4045 2008-07-10
1386806941 Marc S Hoffmann Internal Medicine 12200 W 110th St, Overland Park, KS 66210-4045 2008-06-25
1225299126 Gregory James Crane Internal Medicine 12200 W 110th St, Overland Park, KS 66210-4045 2008-06-23
1740453133 Elizabeth W. Ng Internal Medicine 12200 W 110th St, Overland Park, KS 66210-4045 2008-04-08
1154399798 Amy C. Rabe Internal Medicine 12200 W 110th St, Overland Park, KS 66210-4045 2006-03-09
1750353256 Stuart W. Hinton Internal Medicine 12200 W 110th St, Overland Park, KS 66210-4045 2006-02-07
Find all providers in OVERLAND PARK

Competitor

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City OVERLAND PARK
Zip Code 66210

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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