Provider Demographics
NPI:1871613992
Name:HOESTJE, SARA MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:MARIE
Last Name:HOESTJE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8551 BLUEJACKET ST
Mailing Address - Street 2:SUITE 270
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66214-1656
Mailing Address - Country:US
Mailing Address - Phone:913-341-7985
Mailing Address - Fax:
Practice Address - Street 1:10701 NALL AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1363
Practice Address - Country:US
Practice Address - Phone:913-647-4151
Practice Address - Fax:913-647-4175
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009012794208800000X
KS04-33776208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00747345OtherMEDICARE RAILROAD
KS200616480AMedicaid
P00747345OtherMEDICARE RAILROAD
KSJ71000029Medicare PIN