DR. ABRAHAM K POULOSE (NPI# 1497753560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497753560 |
| Entity Type | Individual |
| Full Name | DR. ABRAHAM K POULOSE |
| Credential | MD |
| Practice Address |
11261 Nall Ave Leawood KS 66211-1675 |
| Practice Telephone | 9132612020 |
| Practice Fax Number | 9132612090 |
| Mailing Telephone | 9132612020 |
| Mailing Fax Number | 9132612090 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2019-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 04-25731 | KS | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 100803 | MO | Allopathic & Osteopathic Physicians |
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
04-25731 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
11261 NALL AVE |
| City | LEAWOOD |
| State | KS |
| Zip Code | 66211-1675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811995905 | David B. Lyon | Ophthalmology | 11261 Nall Ave, Leawood, KS 66211-1675 | 2005-07-12 |
| 1205211349 | Jessica Price | Optometrist | 11261 Nall Ave, Leawood, KS 66211-1669 | 2015-07-29 |
| 1376899237 | Alyssa Anne Milligan Cooper | Optometrist | 11261 Nall Ave, Leawood, KS 66211-1669 | 2012-07-30 |
| 1942437504 | Epic Surgery Centers, LLC | Clinic/Center | 11261 Nall Ave, Suite 200, Leawood, KS 66211-1676 | 2009-06-22 |
| 1952535353 | Sean Matthew Gratton | Ophthalmology | 11261 Nall Ave, Leawood, KS 66211-1669 | 2009-05-13 |
| 1033360094 | Matthew C Sniegowski | Ophthalmology | 11261 Nall Ave, Leawood, KS 66211-1669 | 2008-10-08 |
| 1275704405 | Nancy Kunjukunju | Ophthalmology | 11261 Nall Ave, Leawood, KS 66211-1669 | 2008-03-15 |
| 1215925987 | Kevin P Pikey | Ophthalmology | 11261 Nall Ave, Leawood, KS 66211-1669 | 2005-10-07 |
| 1285632356 | Nelson R. Sabates | Ophthalmology | 11261 Nall Ave, Leawood, KS 66211-1669 | 2005-07-12 |
| 1114925294 | Timothy A. Walline | Ophthalmology | 11261 Nall Ave, Leawood, KS 66211-1675 | 2005-07-12 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811295256 | William Frederick Case | Ophthalmology | 4705 W 152nd St, Leawood, KS 66224-9726 | 2011-03-09 |
| 1780642066 | Trudi R Grin | Ophthalmology | 4820 College Blvd, Leawood, KS 66211-1601 | 2006-05-03 |
| 1851384119 | John Frederick Doane | Ophthalmology | 11500 Granada St, Discover Vision Centers, Leawood, KS 66211-1453 | 2005-08-23 |
| 1811995905 | David B. Lyon | Ophthalmology | 11261 Nall Ave, Leawood, KS 66211-1675 | 2005-07-12 |
| 1942688734 | Neil S Shah | Ophthalmology | 11261 Nall Avenue, C/o Sabates Eye Centers, PC, Leawood, KS 66211 | 2015-05-12 |
| 1164867974 | Javed Asif Sayed | Ophthalmology | 11500 Granada St, Leawood, KS 66211-1453 | 2013-05-07 |
| 1952535353 | Sean Matthew Gratton | Ophthalmology | 11261 Nall Ave, Leawood, KS 66211-1669 | 2009-05-13 |
| 1033360094 | Matthew C Sniegowski | Ophthalmology | 11261 Nall Ave, Leawood, KS 66211-1669 | 2008-10-08 |
| 1275704405 | Nancy Kunjukunju | Ophthalmology | 11261 Nall Ave, Leawood, KS 66211-1669 | 2008-03-15 |
| 1881884211 | Eye Care, Pa | Ophthalmology | 11500 Granada St, Leawood, KS 66211-1453 | 2007-08-01 |
| Find all providers in LEAWOOD | ||||
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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.