Provider Demographics
NPI:1861711012
Name:BALDASSARO, SARAH KAY (MD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:KAY
Last Name:BALDASSARO
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 1:5701 W 119TH ST STE 345
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66209-3750
Mailing Address - Country:US
Mailing Address - Phone:913-340-7633
Mailing Address - Fax:913-348-4920
Practice Address - Street 1:5701 W 119TH ST STE 345
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66209-3750
Practice Address - Country:US
Practice Address - Phone:913-340-7633
Practice Address - Fax:913-348-4920
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-27
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR72083207V00000X
KS04-37135207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology