KANSAS CITY KIDNEY CONSULTANTS, PA


Address: 4320 Wornall Rd Ste 208, Kansas City, MO 64111-5964
Phone: 8165310552

KANSAS CITY KIDNEY CONSULTANTS, PA (NPI# 1164528626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164528626
Entity Type Organization
Organization Name KANSAS CITY KIDNEY CONSULTANTS, PA
Practice Address 4320 Wornall Rd Ste 208
Kansas City
MO 64111-5964
Practice Telephone 8165310552
Practice Fax Number 8167562503
Mailing Telephone 8165310552
Mailing Fax Number 8167562503
Enumeration Date 2006-09-15
Last Update Date 2017-07-14
Authorized Official Name DR. RYAN M LUSTIG (PRESIDENT)
Authorized Official Telephone 8165310552
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 501081905 05

Office Location

Street Address 4320 WORNALL RD STE 208
City KANSAS CITY
State MO
Zip Code 64111-5964

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043843139 Jill M Coan Nurse Practitioner 4320 Wornall Rd Ste 208, Kansas City, MO 64111-5964 2020-02-17
1376106807 Rachel Joy Luber Nurse Practitioner 4320 Wornall Rd Ste 208, Kansas City, MO 64111-5964 2019-04-19
1316429343 Jennifer L. Branch Nurse Practitioner 4320 Wornall Rd Ste 208, Kansas City, MO 64111-5964 2018-09-06
1730623141 Tamika Clark Nurse Practitioner 4320 Wornall Rd Ste 208, Kansas City, MO 64111 2016-12-05
1154870624 Malia Dejong Nurse Practitioner 4320 Wornall Rd Ste 208, Kansas City, MO 64111-5964 2016-09-26
1174901870 Kyrstin Alexander Internal Medicine 4320 Wornall Rd Ste 208, Kansas City, MO 64111-5964 2015-05-13
1578901625 Rafael Torosyan Internal Medicine 4320 Wornall Rd Ste 208, Kansas City, MO 64111-5964 2013-06-11

Providers in the same zip code

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 Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558510172 Munis Azim Mattu Internal Medicine Kumc Division of Nephrology, 3901 Rainbow Blvd, Ms 3018, Kansas City, KS 66160-0001 2008-09-18
1871716613 Ahmed Ibrahim Al-absi Internal Medicine 6530 Troost Ave Ste A, Kansas City, MO 64131-1301 2007-04-10
1356375406 Woojin James Chon Internal Medicine 4320 Wornall Rd Ste 240, Kansas City, MO 64111-5955 2006-07-11
1003871443 Jim I Mertz Internal Medicine 4320 Wornall Rd., Ste 208, Kansas City, MO 64111-3255 2006-04-19
1013984731 Gerald M Reid Internal Medicine 6530 Troost, Ste A, Kansas City, MO 64131 2006-03-01
1710952700 Kidney Associates of Kansas City PC Internal Medicine 6530 Troust Ave, Suite A, Kansas City, MO 64131 2006-02-22
1942299268 Midwest Nephrology Consultants Pa Internal Medicine 2340 E Meyer Blvd Ste 480, Kansas City, MO 64132-1116 2005-10-19
1841643210 Mohammed Zuhair Mohialdeen Internal Medicine 6530 Troost Ave Ste A, Kansas City, MO 64131-1301 2016-07-20
1144691429 Kidney Care Center Kansas City Internal Medicine 2316 E Meyer Blvd, Kansas City, MO 64132-1136 2015-10-13
1174901870 Kyrstin Alexander Internal Medicine 4320 Wornall Rd Ste 208, Kansas City, MO 64111-5964 2015-05-13
Find all providers in KANSAS CITY

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City KANSAS CITY
Zip Code 64111

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Dataset Information

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.

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