VIJAYA P SAMUEL (NPI# 1104810803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104810803 |
| Entity Type | Individual |
| Full Name | VIJAYA P SAMUEL |
| Credential | MD |
| Practice Address |
10601 Quivira Rd Suite 200 Overland Park KS 66215-2310 |
| Practice Telephone | 9135413340 |
| Practice Fax Number | 9134927857 |
| Mailing Telephone | 9135413340 |
| Mailing Fax Number | 9134927857 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2009-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 04-29522 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1104810803 | 05 | |
| KS | MEDICAL LICENSE | 04-29522 | 01 |
| KS | 100425510C | 05 |
| Street Address |
10601 QUIVIRA RD SUITE 200 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66215-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891797270 | Cypress Lasalle | Nurse Practitioner | 10601 Quivira Rd, Suite 200, Overland Park, KS 66215-2310 | 2005-08-15 |
| 1295127959 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 10601 Quivira Rd, Suite 100, Overland Park, KS 66215-2310 | 2015-03-04 |
| 1497031967 | Michael Frazier Fomby | Internal Medicine | 10601 Quivira Rd, Suite 200, Overland Park, KS 66215-2310 | 2011-10-28 |
| 1740589142 | Susann M Briseno | Nurse Practitioner | 10601 Quivira Rd, Ste 200, Overland Park, KS 66215-2310 | 2011-03-24 |
| 1255597399 | Shazia Walijan-munir | Internal Medicine | 10601 Quivira Rd, Suite 200, Overland Park, KS 66215-2310 | 2008-07-29 |
| 1306998240 | Thomas E. Barnett Jr. | Internal Medicine | 10601 Quivira Rd, Suite 200, Overland Park, KS 66215-2310 | 2007-01-18 |
| 1477651073 | Martin S. Buckman | Internal Medicine | 10601 Quivira Rd, Suite 200, Overland Park, KS 66215-2310 | 2006-09-20 |
| 1083656318 | Surgery Center of Overland Park Lp | Clinic/Center | 10601 Quivira Rd, Suite 100, Overland Park, KS 66215-2310 | 2006-06-12 |
| 1871530279 | Quivira Internal Medicine Inc | Internal Medicine | 10601 Quivira Rd, Suite 200, Overland Park, KS 66215-2310 | 2006-06-02 |
| 1699735571 | Michelle Rene Lester | Internal Medicine | 10601 Quivira Rd, Suite 200, Overland Park, KS 66215-2310 | 2006-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442193 | Breanna Kay Bezona | Chiropractor | 13830 Sante Fe Trail Dr., St. 104, Lenexa, KS 66215 | 2020-06-25 |
| 1801458542 | Paula Aileen Rogers | Registered Nurse | 14831 W 95th Street, Lenexa, KS 66215 | 2019-07-02 |
| 1154988780 | Michelle Marie Magri | Counselor | 8645 Hauser Court, Lenexa, KS 66215 | 2019-05-20 |
| 1891267100 | Beulah Mathew | Physical Therapist | Lakeview Village, 9100 Park St., Lenexa, KS 66215 | 2018-12-27 |
| 1609350123 | Courtney Smith | Behavior Technician | 9340 Gillette St., Lenexa, KS 66215 | 2018-09-20 |
| 1588182398 | Tlc Medical Transport LLC | Non-emergency Medical Transport (VAN) | 14425 College Blvd, Suite 111, Lenexa, KS 66215 | 2017-08-31 |
| 1376991091 | Abbie Elizabeth Martin | Nurse Practitioner | 1220 W. 106th Street, Suite 230, Overland Park, KS 66215 | 2016-06-03 |
| 1093199051 | Janita-jade Coffey | Nurse Practitioner | 10600 Quivira Rd Ste 320, Overland Park, KS 66215 | 2015-07-18 |
| 1518349109 | Timothy James Kamerzell | Internal Medicine | 10601 Quivira Rd Ste 200, Overland Park, KS 66215 | 2015-06-19 |
| 1245633916 | Maria Kintu | Licensed Practical Nurse | 12316 W 79th Terr, Lenexa, KS 66215 | 2014-10-08 |
| Find all providers in zip 66215 | ||||
| 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 |
| 1063786242 | Billy Waddell | Internal Medicine | 9134 W 102 Ter, Overland Park, KS 66212-4206 | 2012-03-06 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66215 |
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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.