DR. SUPARNA NANUA (NPI# 1104023084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104023084 |
| Entity Type | Individual |
| Full Name | DR. SUPARNA NANUA |
| Credential | M.D. |
| Practice Address |
4401 Wornall Road Pathology Department Kansas City MO 64111-3220 |
| Mailing Address |
901 E. 104th St. Mailstop 400n Kansas City MO 64131-9712 |
| Practice Telephone | 8169323335 |
| Practice Fax Number | 8169323822 |
| Mailing Telephone | 8165028756 |
| Mailing Fax Number | 8169329670 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2017-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
2007012001 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
4401 WORNALL ROAD PATHOLOGY DEPARTMENT |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780660605 | Lin X. Wang | Nurse Anesthetist, Certified Registered | 4401 Wornall Road, Kansas City, MO 64111 | 2005-12-22 |
| 1306206677 | Mara Wear | Nurse Practitioner | 4401 Wornall Road, Kansas City, MO 64111 | 2016-03-01 |
| 1609235506 | Renae Brines | Nurse Practitioner | 4401 Wornall Road, Kansas City, MO 64111 | 2016-02-19 |
| 1275991523 | Heather Boyd | Nurse Practitioner | 4401 Wornall Road, Kansas City, MO 64111 | 2016-02-02 |
| 1346660248 | Aunya Marie Cameron | Internal Medicine | 4401 Wornall Road, Kansas City, MO 64111 | 2014-04-18 |
| 1295155257 | Jessica E.s. Sturgess | Internal Medicine | 4401 Wornall Road, Cv Research 9th Floor, Kansas City, MO 64111 | 2014-04-17 |
| 1417299157 | Pediatrix | General Acute Care Hospital | 4401 Wornall Road, Saint Luke's Hospital, Kansas City, MO 64111 | 2013-03-20 |
| 1548498090 | Jamie Lynn Rosterman | Pediatrics | 4401 Wornall Road, Suite 2710, Kansas City, MO 64111 | 2009-06-23 |
| 1073758322 | Beth D. Nichols | Registered Nurse | 4401 Wornall Road, Kansas City, MO 64111-3220 | 2008-12-15 |
| 1902083454 | Amy Davis Brookshire | Registered Nurse | 4401 Wornall Road, Kansas City, MO 64111 | 2008-01-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942438478 | Sarah Thompson Mchugh | Pathology | University of Kansas Medical Ctr, 3901 Rainbow Blvd, Kansas City, KS 66160-0001 | 2009-06-23 |
| 1528108362 | Lisa Ann Menninger | Pathology | 4401 Wornall Road, Saint Lukes Hospital, Kansas City, MO 64111 | 2007-02-08 |
| 1770671745 | Frederick V Plapp | Pathology | 4401 Wornall Road, Kansas City, MO 64111 | 2006-10-11 |
| 1811953011 | Marilyn Stanley Hamilton | Pathology | 2401 Gillham Rd, Pathology Department, Kansas City, MO 64108-4619 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942472972 | Daniel L Gwartney | Pathology | 3950 N Oberlin Valley Rd, Columbia, MO 65202-6810 | 2008-03-31 |
| 1043318124 | James Rolland Miller | Pathology | 2916 S Brentwood Blvd, Saint Louis, MO 63144-2714 | 2006-09-20 |
| 1447295993 | Lii-mei B Tsai | Pathology | 11710 Administration Dr, Suite #22, Saint Louis, MO 63146-3407 | 2006-06-18 |
| 1104479203 | Lisandro Roberto Fortuny | Pathology | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2019-07-18 |
| 1306323399 | Gary Emanuel Grajales-reyes | Pathology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2018-07-23 |
| 1700362316 | Mei San Tang | Pathology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 | 2018-07-17 |
| 1740701846 | Adam Lee Bailey | Pathology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2017-06-29 |
| 1295255628 | Arjun Swaminathan Raman | Pathology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2017-06-27 |
| 1598118846 | Jonathan Robert Brestoff Parker | Pathology | 660 S Euclid Ave, Box 8118, Saint Louis, MO 63110-1010 | 2016-07-21 |
| 1770957201 | Mid-america Clinical Pathology, LLC | Pathology | 1101 W Liberty St, Farmington, MO 63640-1921 | 2015-11-20 |
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| City | KANSAS CITY |
| Zip Code | 64111 |
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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.