Provider Demographics
NPI:1659578060
Name:ABERLE, NICHOLAS SEBASTIAN II (MD)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:SEBASTIAN
Last Name:ABERLE
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5302 HEDGE LANE TER
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66226-2208
Mailing Address - Country:US
Mailing Address - Phone:402-547-3487
Mailing Address - Fax:
Practice Address - Street 1:5302 HEDGE LANE TER
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66226-2208
Practice Address - Country:US
Practice Address - Phone:402-547-3487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020040718207X00000X
KS04-37583207XX0005X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS201106170AMedicaid
KSKA2935066/KA2934066Medicare UPIN