1. Home
  2. Directory
  3. Kansas
  4. Overland Park
  5. Emergency Medicine
  6. NPI Profile

DR. MARTHA SUE FANNING M.D.
NPI 1073514733
Emergency Medicine in Overland Park, KS

Active since August 03, 2005
12300 METCALF AVE, OVERLAND PARK, KS 66213(913) 317-7485 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Martha Sue Fanning M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARTHA SUE FANNING M.D. (NPI 1073514733) is an individual emergency medicine provider in Overland Park, Kansas, licensed in Kansas (04-26640) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1073514733
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. MARTHA SUE FANNINGCredential: M.D.
Location Address12300 METCALF AVEOverland Park, KS 66213-1324
Mailing AddressPo Box 411039Kansas City, MO 64141-1039 · (913) 234-1350
Phone(913) 317-7485
Sole ProprietorNo
Enumeration DateAugust 3, 2005
Last NPPES UpdateJune 29, 2021
NPPES CertifiedJune 29, 2021
✔ NPI 1073514733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in KS · 04-26640
Definition
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.
12300 METCALF AVE, Overland Park, KS 66213
Open in Google Maps ↗

Other Names 1

Former Name (1)Martha Sue Pack

Other Identifiers 8

Other24548088MO · Bcbs Kc Mo
Other930072754Rr Medicare Group Cc8899
OtherP00278183Rr Medicare Group Dc6712
Medicaid208531038MO
Other24548068KS · Bcbs Kc Mo
Other01674018KS · Bcbs Kc Mo Grp 01674018
Medicaid100333210CKS
Medicaid100333210EKS

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GAY ANN COLLITON CRNA
Nurse Anesthetist, Certified Registered
12300 METCALF AVE, ANESTHESIA DEPT
OVERLAND PARK, KS 66213
Johnson County (816) 389-6030
ELIZABETH HYBL OTR/L
Occupational Therapist
12300 METCALF AVE
OVERLAND PARK, KS 66213
Johnson County (913) 317-7000
ELHONEI K ALEMU MOTR/L
Occupational Therapist
12300 METCALF AVE
OVERLAND PARK, KS 66213
Johnson County (919) 317-7000
DR. VITTORIA COSTANTINO MD
Physical Medicine & Rehabilitation
12300 METCALF AVE
OVERLAND PARK, KS 66213
Johnson County (913) 296-5000
MRS. JUDY ANN SPRINGS RD,LD,CDE
Dietitian, Registered
12300 METCALF AVE, DIABETES CENTER
OVERLAND PARK, KS 66213
Johnson County (913) 317-7796
ANN SQUIRE CRNA
Nurse Anesthetist, Certified Registered
12300 METCALF AVE, ANESTHESIA DEPT
OVERLAND PARK, KS 66213
Johnson County (816) 389-6030
WILLIAM YOUNG II CSFA, ST
Specialist/Technologist, Other (Surgical Assistant)
12300 METCALF AVE
OVERLAND PARK, KS 66213
Johnson County (913) 317-7000
SUSAN L STEINER RPH
Pharmacist
12300 METCALF AVE
OVERLAND PARK, KS 66213
Johnson County (913) 317-7604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martha Fanning's NPI number?

The NPI number for Martha Fanning is 1073514733. It was assigned to this individual provider in the NPPES registry on August 3, 2005. The provider is also known as Martha Sue Pack.

Where is Martha Fanning located?

Martha Fanning practices at 12300 Metcalf Ave, Overland Park, KS 66213. The listed phone number is (913) 317-7485.

What is Martha Fanning's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Martha Fanning was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.