MEDEXPRESS PRIMARY CARE KANSAS, P.A. (NPI# 1316463359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316463359 |
| Entity Type | Organization |
| Organization Name | MEDEXPRESS PRIMARY CARE KANSAS, P.A. |
| Other Organization Name | THE WELL - OVERLAND PARK, W 115TH ST |
| Practice Address |
6860 W 115th St Overland Park KS 66211-2457 |
| Mailing Address |
1001 Consol Energy Dr Canonsburg PA 15317-6506 |
| Practice Telephone | 9136617181 |
| Practice Fax Number | 9132179106 |
| Mailing Telephone | 3042252500 |
| Mailing Fax Number | 7247431133 |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2018-02-19 |
| Authorized Official Name | BRETT GALL (DIRECTOR PAYOR CONTRACTING) |
| Authorized Official Telephone | 3042252500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| The Well - Overland Park, W 115th St | Doing Business As Name - Organization |
| Street Address |
6860 W 115TH ST |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211-2457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386831626 | Leslyn Quick Brouillette | Nurse Practitioner | 6860 W 115th St, Overland Park, KS 66211-2457 | 2007-10-01 |
| 1073113858 | Camille Denise Alumbaugh | Pharmacist | 6860 W 115th St, Overland Park, KS 66211-2457 | 2020-10-29 |
| 1932512944 | Tamra Huntsman | Nurse Practitioner | 6860 W 115th St, Overland Park, KS 66211-2457 | 2014-06-06 |
| 1053721779 | Optum Medical Services, PC | Family Medicine | 6860 W 115th St, Overland Park International Trade, Overland Park, KS 66211-2457 | 2014-05-02 |
| 1225395239 | Joy S Stegner | Pharmacist | 6860 W 115th St, Overland Park, KS 66211-2457 | 2012-04-15 |
| 1043580319 | Thomas Patrick Bremyer | Pharmacist | 6860 W 115th St, Overland Park, KS 66211-2457 | 2012-01-04 |
| 1790060705 | Tracy Alagna | Nurse Practitioner | 6860 W 115th St, Overland Park, KS 66211-2457 | 2011-10-21 |
| 1386939916 | Jeff S Martinez | Pharmacist | 6860 W 115th St, Overland Park, KS 66211-2457 | 2011-06-11 |
| 1821394909 | Holly R Ray | Nurse Practitioner | 6860 W 115th St, Overland Park, KS 66211-2457 | 2011-02-07 |
| 1548575210 | Ma Agrifina Palao Catapusan | Nurse Practitioner | 6860 W 115th St, Overland Park, KS 66211-2457 | 2010-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| Find all providers in zip 66211 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| 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 |
| 1508360405 | Landmark Medical of Kansas Pa | General Practice | 5350 College Blvd Ste 122, Overland Park, KS 66211-1633 | 2018-03-23 |
| 1134460165 | Living Well Medical Center | General Practice | 9150 Glenwood St, Overland Park, KS 66212-1364 | 2013-03-15 |
| 1790962884 | Tseng-kuo Shiao | General Practice | 8600 W 95th St, Ste. 210, Overland Park, KS 66212-3201 | 2008-01-30 |
| 1013136860 | Scott G Willson | General Practice | 11879 W 112th St, Suite 300, Overland Park, KS 66210-2725 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003437419 | Lewis H. Roht | General Practice | 12512 High Drive, Leawood, KS 66209-1341 | 2020-04-27 |
| 1902342892 | Drsalliance LLC | General Practice | 13968 Santa Fe Trail Dr, Lenexa, KS 66215-3382 | 2017-01-16 |
| 1114470010 | St Catherine Hospital | General Practice | 2051 E Mary St, Garden City, KS 67846-3617 | 2016-07-27 |
| 1053706655 | Aubrey Shea Ralston | General Practice | 700 W Central Ave Ste 205, El Dorado, KS 67042 | 2015-03-31 |
| 1245631100 | James Berry | General Practice | 10821 S Whitetail Ln, Olathe, KS 66061-9395 | 2014-09-10 |
| 1427470087 | Chs Health Services, LLC | General Practice | 2000 Nw Us Highway 24, Topeka, KS 66618-1445 | 2014-01-15 |
| 1942556824 | Leland Ray Kaufman | General Practice | 1500 E. 10th, Bldg B/2, Winfield, KS 67156 | 2012-07-30 |
| 1417211665 | James M Stanford | General Practice | 202 S Frisco St, Coldwater, KS 67029-9101 | 2012-07-02 |
| 1639436520 | James Philip Hostetter | General Practice | 3811 Sw Wood Valley Drive, Topeka, KS 66610-1124 | 2012-04-16 |
| 1407144058 | Healing Waters Wichita Lc | General Practice | 2000 N Rock Rd, Suite 100, Wichita, KS 67206-1201 | 2011-07-18 |
| Find all providers with the same taxonomy | ||||
| City | OVERLAND PARK |
| Zip Code | 66211 |
Please comment or provide details below to improve the information on MEDEXPRESS PRIMARY CARE KANSAS, P.A..
| 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.