MID-AMERICA POLYCLINIC PA (NPI# 1124087861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124087861 |
| Entity Type | Organization |
| Organization Name | MID-AMERICA POLYCLINIC PA |
| Practice Address |
7100 College Blvd Overland Park KS 66210 |
| Practice Telephone | 9135992440 |
| Practice Fax Number | 9135995252 |
| Mailing Telephone | 9135992440 |
| Mailing Fax Number | 9135995252 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2019-02-11 |
| Authorized Official Name | SRINIVAS NALAMACHU (PRESIDENT) |
| Authorized Official Telephone | 9135992440 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE SHIELD KANSAS CITY | 21532015 | 01 |
| Street Address |
7100 COLLEGE BLVD |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730158056 | Lary Bocquin | Internal Medicine | 7100 College Blvd, Overland Park, KS 66210-1862 | 2006-03-17 |
| 1790293033 | Tracy Ann Newman | Nurse Practitioner | 7100 College Blvd, Overland Park, KS 66210-1862 | 2018-01-22 |
| 1104344498 | Tammy Lynn Weeks | Nurse Practitioner | 7100 College Blvd, Overland Park, KS 66210-1862 | 2017-09-06 |
| 1053842047 | Lisa Annette Cramer | Nurse Practitioner | 7100 College Blvd, Overland Park, KS 66210-6621 | 2017-03-22 |
| 1255746749 | Optum Medical Services, PC | Family Medicine | 7100 College Blvd, Overland Park, KS 66210-1862 | 2014-06-24 |
| 1629403696 | Optum Medical Services, P.C. | Clinic/Center | 7100 College Blvd, Overland Park, KS 66210-1862 | 2013-09-10 |
| 1104250596 | Optum Clinic, Pa | Clinic/Center | 7100 College Blvd, Overland Park, KS 66210-1862 | 2013-08-21 |
| 1992062798 | Patrick Norman Brummett | Nurse Practitioner | 7100 College Blvd, Overland Park, KS 66210-1862 | 2012-04-18 |
| 1710943857 | Dennis Kerry Katz | Neuromusculoskeletal Medicine & OMM | 7100 College Blvd, Overland Park, KS 66210 | 2006-04-26 |
| 1497716914 | Srinivas Nalamachu | Physical Medicine & Rehabilitation | 7100 College Blvd, Overland Park, KS 66210 | 2006-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
| 1417591165 | Refractive Cataract Center, LLC | Clinic/Center | 8300 College Boulevard, Suite 201, Overland Park, KS 66210 | 2019-11-05 |
| 1336705730 | Above & Beyond In-home Kansas, LLC | In Home Supportive Care | 7300 W. 110th Street, Suite 700, Overland Park, KS 66210 | 2019-05-13 |
| 1528531720 | Sarah J Sievers | Acupuncturist | 4800 W. 135th St. Suite 200, Leawood, Ks 66224, KS 66210 | 2019-01-10 |
| 1790286326 | Sarah E Hamilton | Physician Assistant | 8490 College Boulevard, Overland, KS 66210 | 2018-02-28 |
| 1730600750 | True Health and Wellness, LLC | Family Medicine | 11879 W. 112th Street, Suite 100, Overland Park, KS 66210 | 2017-06-29 |
| 1639610603 | Kayla Jolene Lawrance | Advanced Practice Midwife | 9202 W. 110th St., Building 36, Overland Park, KS 66210 | 2017-03-10 |
| 1972041952 | Ccrc of Cedar Rapids, LLC | Skilled Nursing Facility | 11827 W 112th St, Suite 103, Overland Park, KS 66210 | 2017-02-09 |
| 1396122008 | Laurie Jean Sansom | Counselor | 8575 W. 110th, Ste. 218, Overland Park, KS 66210 | 2015-05-01 |
| 1790181063 | Susan J. Anderson, Psy.d., Pa | Psychologist | 8500 W. 100th Street, 540, Overland Park, KS 66210 | 2014-11-13 |
| Find all providers in zip 66210 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184275828 | Restore/thrive, LLC | Physical Medicine & Rehabilitation | 9208 Slater St, Overland Park, KS 66212-3825 | 2019-09-24 |
| 1619489085 | True Health and Wellness LLC | Physical Medicine & Rehabilitation | 11879 W 112th St Ste 100, Overland Park, KS 66210-4115 | 2017-10-25 |
| 1356709281 | Peak Health, LLC | Physical Medicine & Rehabilitation | 7555 W 150th St Ste A, Overland Park, KS 66223 | 2016-02-06 |
| 1316285976 | Mohamed A Medhat | Physical Medicine & Rehabilitation | 10670 Riggs Dr, Overland Park, KS 66212-1818 | 2013-01-16 |
| 1003050204 | Michael Jonathan Khadavi | Physical Medicine & Rehabilitation | 10777 Nall Avenue, Suite 300, Overland Park, KS 66211 | 2009-05-01 |
| 1548414691 | Sandra R Wuller | Physical Medicine & Rehabilitation | 9100 W 131st Ter, Overland Park, KS 66213-3096 | 2008-11-14 |
| 1043357304 | James Sigler | Physical Medicine & Rehabilitation | 6650 W 110th St Ste 210, Overland Park, KS 66211-1501 | 2007-01-30 |
| 1164589792 | Jennifer E. Finley | Physical Medicine & Rehabilitation | 10770 El Monte St, Suite 102, Overland Park, KS 66211-1449 | 2007-01-02 |
| 1164516126 | Ira Hartley Fishman | Physical Medicine & Rehabilitation | 10520 Barkley St, Suite 120, Overland Park, KS 66212-1811 | 2006-10-03 |
| 1427072347 | Vemireddi Nanda Kumar | Physical Medicine & Rehabilitation | 11322 Mackey St, Overland Park, KS 66210-2454 | 2006-07-26 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66210 |
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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.