Individual provider · Type 1 NPI
Juan Carlos Correa, MD
Vascular Surgery Physician · Leawood, KS
NPI number
1508063835
Active
Practice location
5320 College Blvd.
Leawood, KS 66211
Fax (913) 701-3010
Mailing address
5320 College Blvd
Leawood, KS 66211-1621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | 0437333 (KS) |
| Surgery Physician | 208600000X | 2012012809 (MO) |
| Vascular Surgery Physician | 2086S0129X | 2012012809 (MO) |
| Student in an Organized Health Care Education/Training Program | 390200000X | BS 5741663 (MO) |
| Vascular Surgery Physician Primary | 2086S0129X | 0437333 (KS) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
About NPI 1508063835
Juan Carlos Correa, MD's National Provider Identifier is 1508063835, issued on Jun 29, 2007. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Leawood, KS. The record was last updated on May 23, 2025.