ELLI ROBERTS (NPI# 1578953162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578953162 |
| Entity Type | Individual |
| Full Name | ELLI ROBERTS |
| Other Name | ELLI MATHIS |
| Credential | PA-C |
| Practice Address |
9119 W 74th St Suite 150 Shawnee Mission KS 66204-2215 |
| Practice Telephone | 9137891986 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2016-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
15-01778 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9119 W 74TH ST SUITE 150 |
| City | SHAWNEE MISSION |
| State | KS |
| Zip Code | 66204-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558360743 | Jay A Jackson | Internal Medicine | 9119 W 74th St, Suite 350, Shawnee Mission, KS 66204-2215 | 2005-07-19 |
| 1720437007 | Health Partnership Clinic, Inc | Clinic/Center | 9119 W 74th St, Ste 210, Shawnee Mission, KS 66204-2229 | 2016-06-08 |
| 1659730901 | Emily Ingenthron | Physician Assistant | 9119 W 74th St, Suite 150, Shawnee Mission, KS 66204-2215 | 2016-02-15 |
| 1982853610 | M Obadah Al Chekakie | Internal Medicine | 9119 W 74th St, Suite 350, Shawnee Mission, KS 66204-2215 | 2008-09-18 |
| 1740455203 | Heath Garris Wilt | Internal Medicine | 9119 W 74th St, Suite 350, Shawnee Mission, KS 66204-2215 | 2008-04-25 |
| 1235329889 | Francisco Javier Reyes Martin | Surgery | 9119 W 74th St, Suite 255, Shawnee Mission, KS 66204-2215 | 2007-07-30 |
| 1295814135 | Amy Lynn Giedt | Obstetrics & Gynecology | 9119 W 74th St, Suite 300, Shawnee Mission, KS 66204-2236 | 2006-11-02 |
| 1457438376 | Heidi Louise Peck | Physician Assistant | 9119 W 74th St, Suite 300, Shawnee Mission, KS 66204-2236 | 2006-11-01 |
| 1992887178 | Ana M Martinez | Obstetrics & Gynecology | 9119 W 74th St, Suite 300, Shawnee Mission, KS 66204-2236 | 2006-10-19 |
| 1295817492 | Reagan M Wittek | Obstetrics & Gynecology | 9119 W 74th St, Suite 300, Shawnee Mission, KS 66204-2236 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652405 | Avenue 81 Iaop | Assisted Living Facility | 8055 Metcalf Ave, Overland Park, KS 66204 | 2020-09-04 |
| 1487160255 | Femme Focus, L.L.C. | Clinic/Center | 7927 Floyd, Rm 5, Home Family Holistic Center, Overland Park, KS 66204 | 2017-12-15 |
| 1427577469 | Linda Kay Mufich-knopp | Physical Therapist | Femme Focus, L.L.C. In The Home Family Holistic Center, 7927 Floyd Street, Suite 5, Overland Park, KS 66204 | 2017-09-11 |
| 1700304789 | Kalli Dee Karmann | Occupational Therapy Assistant | 6814 W 72nd St, Overland Park, KS 66204 | 2017-08-30 |
| 1164951786 | Daniel Collins | Physical Therapist | 10000 W. 75th St. Ste. 250, Merriam, KS 66204 | 2017-06-07 |
| 1942686530 | Anna Katheryn Grantham | Speech-Language Pathologist | 10000 W. 75th St., Suite 250, Merriam, KS 66204 | 2015-08-05 |
| 1700262680 | Maple Hills Healthcare, Inc. | Skilled Nursing Facility | 7600 Antioch Rd, Overland Park, KS 66204 | 2015-08-03 |
| 1104211085 | John Brainard | Pediatrics | 8901 W 74th St Ste 10, Shawnee Mission, KS 66204 | 2015-03-30 |
| 1477941318 | Shelley Watts | Occupational Therapy Assistant | 6712 W 72nd Street, Overland Park, KS 66204 | 2014-12-30 |
| 1578963369 | James Aaron Mitchum | Counselor | 7923 Santa Fe Dr, Overland Park, KS 66204 | 2014-08-28 |
| Find all providers in zip 66204 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457329575 | Nicole Elizabeth Berge | Physician Assistant | 7450 Kessler St Ste 203, Shawnee Mission, KS 66204-2519 | 2006-03-14 |
| 1457438376 | Heidi Louise Peck | Physician Assistant | 9119 W 74th St, Suite 300, Shawnee Mission, KS 66204-2236 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487277703 | Riann Paige Tyree | Physician Assistant | 724 W Lincoln Ave, Greensburg, KS 67054-2522 | 2020-05-20 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1912408717 | Alyssa Ann Farrell | Physician Assistant | 235 W Vine St., Dighton, KS 67839 | 2018-02-27 |
| 1740790500 | Tory Christopher Fisher | Physician Assistant | 22450 S Harrison St Ste 100, Spring Hill, KS 66083-8882 | 2017-10-06 |
| 1619407871 | Lisa Raylene Steers | Physician Assistant | Po Box 10, Hugoton, KS 67951-0010 | 2017-06-19 |
| 1922547371 | Anna Ruelberg | Physician Assistant | 4921 W 18th Street, Lawrence, KS 66047-2090 | 2017-02-17 |
| 1255888319 | Morgan J Martin | Physician Assistant | 2610 N Woodlawn, Wichita, KS 67220 | 2016-09-07 |
| 1598135808 | Tracy Hoelting | Physician Assistant | 1150 N 75th Pl Ste 200, Kansas City, KS 66112-2466 | 2015-09-29 |
| 1437409901 | Crystal A Nelson | Physician Assistant | 9350 E 35th St N, Ste 101, Wichita, KS 67226 | 2012-09-12 |
| 1306195193 | Jessica M Hughbanks | Physician Assistant | 101 Industrial Rd, Hillsboro, KS 67063-9602 | 2012-09-07 |
| Find all providers with the same taxonomy | ||||
| City | SHAWNEE MISSION |
| Zip Code | 66204 |
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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.