MARTHA S. FANNING M.D. – NPI #1073514733
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

MARTHA FANNING is a physician located in OVERLAND PARK, KS. NPPES has assigned the NPI number 1073514733 to MARTHA FANNING on August 03, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name MARTHA SUE PACK. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 5 years ago on Jun 29, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARTHA FANNING below.

NPI Profile for
MARTHA S. FANNING

NPI Number
1073514733
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARTHA S. FANNING
Former Name: MARTHA SUE PACK
Credentials
M.D.
Primary location
12300 METCALF AVE
OVERLAND PARK, KS 66213-1324
Phone: (913) 317-7485 Fax:
Mailing address
PO BOX 411039
KANSAS CITY, MO 64141-1039
Phone: (913) 234-1350 Fax:
Sole Proprietor
No
Updated
Certification Date
Jun 29, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MARTHA FANNING

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBCBS KC MOKS24548068
OTHERBCBS KC MOMO24548088
OTHERBCBS KC MO GRP 01674018KS01674018
OTHERRR MEDICARE GROUP CC8899930072754
OTHERRR MEDICARE GROUP DC6712P00278183
MEDICAIDKS100333210E
MEDICAIDKS100333210C
MEDICAIDMO208531038
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
KS 04-26640

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Affiliations
MARTHA FANNING is affiliated with the following medical group(s):
  • HOSPITAL
    • ADVENTHEALTH SHAWNEE MISSION
      9100 W 74TH STREET
      SHAWNEE MISSION, KS 66204

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.