Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin David Fangman

Individual provider Hematology & Oncology Physician · NPI 1417451162

Benjamin David Fangman is a Hematology/Oncology in North Kansas City, Missouri. Qualified in 2018, 8 years ago. Practices with Golden Valley Memorial Hospital District, a 137-clinician group and accepts Medicare assignment. Licensed in Missouri and Texas.

Years since qualifying
8
Licensed in
MO, TX
In the registry since
2018
Specialties on file
3

Practice location Address checks out

2750 Clay Edwards Dr Lowr Level
North Kansas City, MO 64116-3237
Phone: (816) 691-5216
Fax: (816) 346-7869
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 2024024367 (MO)
Internal Medicine Physician Taxonomy 207R00000X · Licence T0201 (TX)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence T0201 (TX)

Record details

NPI number1417451162
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 19, 2018
Last updated in NPPESJuly 22, 2024
Certification dateJuly 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHEMATOLOGY/ONCOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Golden Valley Memorial Hospital District — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in North Kansas City