DR. BILLY WADDELL (NPI# 1063786242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063786242 |
| Entity Type | Individual |
| Full Name | DR. BILLY WADDELL |
| Credential | MD |
| Practice Address |
9134 W 102 Ter Overland Park KS 66212-4206 |
| Practice Telephone | 9133816217 |
| Mailing Telephone | 9133816217 |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 04-13047 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
9134 W 102 TER |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66212-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363137 | Marva Calder | Nurse Practitioner | 7299 W 98th Terrance Bld 6, Suite 120, Overland Park, KS 66212 | 2020-10-15 |
| 1518572163 | Pathways To Empowerment | Marriage & Family Therapist | 7180 W. 107th Street, St. 21, Overland Park, KS 66212 | 2020-09-10 |
| 1689287914 | Lisa Marie Ambrosek | Behavioral Analyst | 7725 W 87th Street, Overland Park, KS 66212 | 2020-08-26 |
| 1598221061 | Ginger Marie Anderson | Massage Therapist | 9200 Glewood Street Suite 101, Overland Park, KS 66212 | 2019-02-20 |
| 1508335092 | Samantha Nicole Stevens | Behavior Technician | 7725 W. 87th Street, Overland Park, KS 66212 | 2018-11-14 |
| 1831600360 | Kristin Nichols | Occupational Therapist | 8826 Sante Fe Dr, Suite 203, Overland Park, KS 66212 | 2017-10-24 |
| 1538529003 | Cindy Sykes | Social Worker | 8402 Lowell Ave, Overland Park, KS 66212 | 2016-02-26 |
| 1265804157 | Lauren Spears | Psychologist | 10100 W 87th St Ste 306, Overland Park, KS 66212 | 2015-10-30 |
| 1699158279 | Harbor Hospice of Kansas Lp | Hospice Care, Community Based | 7223 W 95th St Ste 230, Overland Park, KS 66212 | 2015-07-01 |
| 1982000303 | Doolittle & Harrington Healthcare LLC | Clinic/Center | 10560 Barkley St Ste 340, Overland Park, KS 66212 | 2014-11-12 |
| Find all providers in zip 66212 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902333818 | Kyle Timmerman | Internal Medicine | 10504 Cody St Apt 98, Overland Park, KS 66214-2734 | 2017-05-23 |
| 1215469457 | Syeda Mausumee Hussain | Internal Medicine | 11336 W 121st Ter, Overland Park, KS 66213-1978 | 2017-03-28 |
| 1245686625 | Liveactive Primary Care, LLC | Internal Medicine | 6650 W 110th St Ste 220, Overland Park, KS 66211-1501 | 2016-05-04 |
| 1518349109 | Timothy James Kamerzell | Internal Medicine | 10601 Quivira Rd Ste 200, Overland Park, KS 66215 | 2015-06-19 |
| 1104207091 | Michael O'bryan | Internal Medicine | 5100 Indian Creek Pkwy, Overland Park, KS 66207 | 2015-06-16 |
| 1235572413 | Thomas Alonzo Cuevas | Internal Medicine | 8249 W 95th St Ste 105, Overland Park, KS 66212-3200 | 2013-04-08 |
| 1528320272 | Sumalatha Muthineni | Internal Medicine | Kc Hospitalists, 5701 W 119th St, Overland Park, KS 66209 | 2012-06-08 |
| 1497017149 | Paul Piezas Pena | Internal Medicine | 10787 Nall Ave Ste 310, Medical Plaza Internal Medicine, Overland Park, KS 66211-1301 | 2012-06-08 |
| 1699031971 | Charles Merrill Stiles | Internal Medicine | 13810 Metcalf Ave, Suite 12219, Overland Park, KS 66223-7810 | 2012-04-11 |
| 1396058905 | Annette M Hughes | Internal Medicine | 9307 W 148th Pl, Overland Park, KS 66221-9374 | 2010-07-24 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66212 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.