DR. MARK H DEWOLFE (NPI# 1124021142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124021142 |
Entity Type | Individual |
Full Name | DR. MARK H DEWOLFE |
Credential | M.D. |
Practice Address |
5400 N Oak Trfy Suite 101 Kansas City MO 64118-4688 |
Mailing Address |
901 E 104th St Kansas City MO 64131-4517 |
Practice Telephone | 8164541658 |
Practice Fax Number | 8164541734 |
Mailing Telephone | 8165028752 |
Mailing Fax Number | 8169329670 |
Enumeration Date | 2005-05-23 |
Last Update Date | 2016-12-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
04-19790 | KS | Allopathic & Osteopathic Physicians |
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
R3A25 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | CIGNA | 480911591028 | 01 |
MO | COMMUNITY HEALTH PLAN | 1001457701 | 01 |
KS | 2051670901 | 05 | |
MO | UHC | 3650047 | 01 |
MO | FIRSTGUARD | 560391 | 01 |
MO | BCBS OF KANSAS CITY | 09468014 | 01 |
MO | COVENTRY | 13192 | 01 |
MO | AETNA | 4340992 | 01 |
KS | BCBS OF KANSAS | 497815 | 01 |
MO | 201787405 | 05 | |
MO | FEDERAL BLACK LUNG | 026295099 | 01 |
MO | HM CARE | 12440 | 01 |
MO | ADVANTRA MEDICARE REPLACE | 97759 | 01 |
Street Address |
5400 N OAK TRFY SUITE 101 |
City | KANSAS CITY |
State | MO |
Zip Code | 64118-4688 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871072041 | James Stephen Rodkey | Radiologic Technologist | 5400 N Oak Trfy, Kansas City, MO 64118-4688 | 2018-08-08 |
1790164739 | Meritas Health Corporation | Internal Medicine | 5400 N Oak Trfy, Suite 100, Kansas City, MO 64118-4688 | 2015-05-22 |
1184917288 | Meritas Health Corporation | Family Medicine | 5400 N Oak Trfy, Suite 200, Kansas City, MO 64118-4688 | 2011-05-23 |
1598058943 | Ashley Gemmell | Family Medicine | 5400 N Oak Trfy, Suite 200, Kansas City, MO 64118-4688 | 2011-05-18 |
1922256072 | Elite Anti-aging and Vein Clinic | Clinic/Center | 5400 N Oak Trfy, Suite 115, Kansas City, MO 64118-4688 | 2008-09-03 |
1881812600 | Lance M Miller | Dentist | 5400 N Oak Trfy, Suite 107, Kansas City, MO 64118-4688 | 2007-04-24 |
1083734875 | John A Dorsch | Dentist | 5400 N Oak Trfy, Suite 123, Kansas City, MO 64118-4688 | 2007-03-29 |
1568573103 | Joseph Caraway | Nurse Practitioner | 5400 N Oak Trfy, Ste 100, Kansas City, MO 64118-6489 | 2006-08-31 |
1639284144 | Heartland Surgical Associates | Surgery | 5400 N Oak Trfy, Suite 101, Kansas City, MO 64118-4688 | 2006-08-21 |
1659385631 | Meritashealth Corporation | Internal Medicine | 5400 N Oak Trfy, Suite 200, Kansas City, MO 64118-4688 | 2006-07-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356955611 | Haley Bogers | Speech-Language Pathologist | 6910 N Homes Street, 200, Gladstone, MO 64118 | 2020-09-03 |
1902447618 | Gladstone Family Dental Associates LLC | Dentist | 2019 Ne 72nd Street, 105, Gladstone, MO 64118 | 2019-10-03 |
1407339179 | Natalie Klima Rinehart | Massage Therapist | 5545 North Oak Traffic Way, Kansas City, MO 64118 | 2018-09-10 |
1255823670 | Giselle Salioa | Physical Therapist | Maple Wood Care Center, 724 Ne 79th Terrace, Kansas City, MO 64118 | 2018-06-01 |
1740784214 | Bridge Integrative Medicine LLC | General Practice | 305 Nw Englewood Ct Ste 200, Kansas City, MO 64118 | 2018-03-20 |
1174915649 | Angela Nap | Behavioral Analyst | 5738 N Broadway St, Kansas City, MO 64118 | 2015-02-20 |
1306188784 | Rachel T Weihe | Internal Medicine | 200 Ne 54th Street, Suite 111, Kansas City, MO 64118 | 2013-03-22 |
1114285947 | Samuel Wieland Schowengerdt | Internal Medicine | 5330 N Oak Trfy Ste 102, Kansas City, MO 64118 | 2012-04-30 |
1750607438 | Anna Scire | Physical Therapy Assistant | 811 Ne 81st St, Kansas City, MO 64118 | 2010-04-20 |
1376870865 | Summit Behavioral Services, LLC | Community/Behavioral Health | 1460 Nw Vivion Rd, Kansas City, MO 64118 | 2009-11-04 |
Find all providers in zip 64118 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629495502 | Sashidhar Manthravadi | Internal Medicine | 8929 Parallel Pkwy Ste G, Kansas City, KS 66112-1689 | 2014-03-28 |
1942456058 | Anuj Shrestha | Internal Medicine | 2310 Holmes St Ste 500, Kansas City, MO 64108-2602 | 2008-08-09 |
1588877377 | Meenakshi Thirunavu | Internal Medicine | University of Kansas Medical Center, 3901 Rainbow Blvd 6076 Delp Mail Stop 1044, Kansas City, KS 66160 | 2007-05-08 |
1750349080 | Raj Sadasivan | Internal Medicine | 4215 Shawnee Dr, Kansas City, KS 66106-3642 | 2006-05-03 |
1235100637 | Maureen H. Sheehan | Internal Medicine | 8700 North Green Hills Rd., Kansas City, MO 64154 | 2006-02-01 |
1568455988 | Kevin P Hubbard | Internal Medicine | 1750 Independence Ave, Kansas City, MO 64106-1453 | 2005-08-31 |
1619960044 | Venkatadri C Beeki | Internal Medicine | 8700 N Green Hills Rd, Kansas City, MO 64154-1910 | 2005-08-31 |
1689667008 | Jamie P Rigden | Internal Medicine | 4321 Washington St Ste 4000, Kansas City, MO 64111-5965 | 2005-08-31 |
1790103513 | Nicholas David Shuler | Internal Medicine | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2014-03-29 |
1275876989 | Elizabeth J. Cathcart-rake | Internal Medicine | 4321 Washington St Ste 4000, Kansas City, MO 64111-5965 | 2013-04-01 |
Find all providers in KANSAS CITY |
City | KANSAS CITY |
Zip Code | 64118 |
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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.