DR. MARK RAY KILLMAN (NPI# 1194778910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194778910 |
| Entity Type | Individual |
| Full Name | DR. MARK RAY KILLMAN |
| Credential | M.D. |
| Practice Address |
19550 E 39th St S Suite 415 Independence MO 64057-2303 |
| Mailing Address |
14607 Granada St Leawood KS 66224-3703 |
| Practice Telephone | 8162549595 |
| Practice Fax Number | 8168363810 |
| Mailing Telephone | 9135441956 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | 107716 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
19550 E 39TH ST S SUITE 415 |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64057-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031909 | Nathan T. Wegner | Specialist | 19550 E 39th St S, Suite 310, Independence, MO 64057-2303 | 2005-05-24 |
| 1013451558 | Courtney Adams | Physician Assistant | 19550 E 39th St S, Ste 410, Independence, MO 64057-2358 | 2016-12-16 |
| 1154878122 | Long and Associates Pain Therapy Inc | General Practice | 19550 E 39th St S, Suite 235, Independence, MO 64057-2358 | 2016-09-07 |
| 1952755340 | Christina Turner | Nurse Practitioner | 19550 E 39th St S, Suite 220, Independence, MO 64057-2358 | 2016-04-21 |
| 1417301615 | Allyson Marie Williams | Nurse Practitioner | 19550 E 39th St S, Ste 410, Independence, MO 64057-2358 | 2016-04-14 |
| 1962860684 | Melody L Alexander | Nurse Practitioner | 19550 E 39th St S, Suite 315, Independence, MO 64057-2358 | 2016-02-09 |
| 1124492608 | Tracy Giese | Nurse Practitioner | 19550 E 39th St S, Suite 245, Independence, MO 64057-2358 | 2015-11-20 |
| 1356733638 | Carma Elizabeth Ball | Nurse Practitioner | 19550 E 39th St S, Suite 200, Independence, MO 64057-2303 | 2015-02-24 |
| 1508257544 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 19550 E 39th St S, Suite 100, Independence, MO 64057-2303 | 2015-02-12 |
| 1851706022 | Leslie Peirce | Registered Nurse | 19550 E 39th St S, Suite 100, Independence, MO 64057-2358 | 2014-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
| 1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
| 1437693561 | Derek Faulkner | Counselor | 2400 Little Blue Pkwy, Independence, MO 64057 | 2016-12-08 |
| 1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
| 1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
| 1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
| 1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
| 1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
| 1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
| 1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
| Find all providers in zip 64057 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710488002 | Zenith Rehabilitation, LLC | Rehabilitation Practitioner | 14500 E 42nd St S Ste 240, Independence, MO 64055 | 2018-02-22 |
| 1750650719 | Lincare Pulmonary Rehab Services of Missouri, LLC | Rehabilitation Practitioner | 14500 E 42nd St S Ste 100, Independence, MO 64055-4700 | 2011-12-21 |
| 1972712925 | Health Styles, Inc. | Rehabilitation Practitioner | 1000 Mulberry St, Independence, KS 67301-2026 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417479494 | Empowerme Rehabilitation Missouri LLC | Rehabilitation Practitioner | 2160 Se Blue Pkwy, Lees Summit, MO 64063-1007 | 2017-07-12 |
| 1790854388 | Siriporn Kulkamthorn | Rehabilitation Practitioner | 6125 Clayton Ave Ste 101, Saint Louis, MO 63139-3266 | 2006-11-07 |
| 1053407270 | Marybeth Pereira | Rehabilitation Practitioner | 1 Jefferson Barracks, Drjefferson Barracks Va Medical Center, St Louis, MO 63125-4199 | 2006-10-05 |
| 1558348789 | Nathan Alan Place | Rehabilitation Practitioner | 3451 Pheasant Meadow Dr, O Fallon, MO 63368-7324 | 2005-12-29 |
| 1356765374 | Reggie Scott Scott Jr. | Rehabilitation Practitioner | 1 Rams Way, Earth City, MO 63045-1523 | 2014-02-11 |
| 1174867766 | Lincare Pulmonary Rehab Services of Missouri, LLC | Rehabilitation Practitioner | 10994 Historic Highway 165, Ste C, Hollister, MO 65672-6234 | 2012-11-20 |
| 1528311313 | Lincare Pulmonary Rehab Services of Missouri, LLC | Rehabilitation Practitioner | 2918 E Battlefield St, Springfield, MO 65804-4016 | 2012-10-18 |
| 1134398498 | Crw Md LLC | Rehabilitation Practitioner | 601 E 14th St, Sedalia, MO 65301-5972 | 2008-02-20 |
| 1528110236 | James M Zubatsky | Rehabilitation Practitioner | 1066 Executive Parkway Dr, Suite 103, Saint Louis, MO 63141-6340 | 2007-01-16 |
| 1972653996 | Apolinario A Ancheta | Rehabilitation Practitioner | 1308 N Glenstone Ave, Springfield, MO 65802-2130 | 2007-01-11 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 64057 |
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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.