MR. JASPAL SHAH (NPI# 1639604978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639604978 |
| Entity Type | Individual |
| Full Name | MR. JASPAL SHAH |
| Practice Address |
12300 Metcalf Ave Overland Park KS 66213-1324 |
| Mailing Address |
1013 Ne Carousel Ln Lees Summit MO 64086-5011 |
| Practice Telephone | 9133177000 |
| Mailing Telephone | 7856436171 |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
53-77629 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12300 METCALF AVE |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66213-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245231158 | Charles L Gerwick | Emergency Medicine | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2005-08-02 |
| 1548861537 | Erin Elizabeth Gillitzer | Registered Nurse | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-11-05 |
| 1245830496 | Alexandrea Ann Young | Registered Nurse | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-10-27 |
| 1952933822 | Samantha Boice | Physician Assistant | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-02-10 |
| 1659902880 | Barbara Diann Kelly | Nurse Practitioner | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-01-27 |
| 1023657574 | Elhonei K Alemu | Occupational Therapist | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-01-02 |
| 1447800131 | Advanced Radiology Consultants of Kansas City, Pa | Radiology | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2019-09-16 |
| 1336601335 | Saint Luke's South Hospital Inc. | Hospitalist | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2019-04-01 |
| 1871009068 | Sharlene Marie Clary | Radiology | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2017-12-25 |
| 1295253458 | Megan Kathleen Hartman | Occupational Therapist | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2017-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003345372 | Nicole Renee Oliphant | Speech-Language Pathologist | 12810 W 133 Pl Apt 3109, Overland Park, KS 66213 | 2017-06-08 |
| 1770026874 | Alyssa Potter | Physical Therapy Assistant | 12202 Goodman St, Overland Park, KS 66213 | 2016-11-22 |
| 1164809380 | Jessica Richter | Family Medicine | 10100 W 119th St Ste 150, Overland Park, KS 66213 | 2015-04-27 |
| 1891180816 | Naresh Kumar Dugal | Podiatrist | 13410 Westgate St Apt 2110, Overland Park, KS 66213 | 2015-04-06 |
| 1801219456 | Denise Ahnen | Lactation Consultant, Non-RN | 121300 Metcalf Ave, Overland Park, KS 66213 | 2014-01-31 |
| 1407294986 | Blue Valley Asc, P.a. | Clinic/Center | 12800 Metcalf Avenue Suite 2, Overland Park, KS 66213 | 2013-06-06 |
| 1023455326 | Duncan Arnold Killen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12542 W. 123rd Terr., Overland Park, KS 66213 | 2013-05-28 |
| 1821432345 | Seniorbridge Family Companies (mo), Inc. | In Home Supportive Care | 7304 W. 130th Street, Suite 100, Overland Park, KS 66213 | 2013-04-26 |
| 1538427273 | Charles E Emms D.c., Pa | Chiropractor | 11960 West 119th Street, 11960, Overland Park, KS 66213 | 2012-05-01 |
| 1194000570 | Phoenix Healthcare Clinic | Family Medicine | 11960 Quivira Road, Suite #100, Overland Park, KS 66213 | 2011-10-17 |
| Find all providers in zip 66213 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609418714 | Elizabeth Mccoy Schraeder | Nurse Practitioner | 12021 Slater St, Overland Park, KS 66213-1556 | 2019-10-09 |
| 1053947549 | Mary Katherine Eikermann | Nurse Practitioner | 10550 Quivira Rd Ste 335, Overland Park, KS 66215-2378 | 2020-03-17 |
| 1780216770 | Ashley Conkwright | Nurse Practitioner | 5100 W 110th St Ste 300, Overland Park, KS 66211-1215 | 2020-02-07 |
| 1144778101 | Monica Wilson | Nurse Practitioner | 12330 Metcalf Ave Ste 420, Overland Park, KS 66213-1307 | 2016-09-19 |
| 1578966503 | Jean M Kaeberle | Nurse Practitioner | 11900 W 135th St, Overland Park, KS 66221-9400 | 2014-10-05 |
| 1871992057 | Nicole M Walton | Nurse Practitioner | 10995 Quivira Rd, Overland Park, KS 66210-1207 | 2014-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076669 | Rachel Samantha Gromala | Nurse Practitioner | 1035 N Emporia Ave Ste 105, Wichita, KS 67214-2998 | 2020-09-04 |
| 1538772033 | Tony Lynell Sanders | Nurse Practitioner | 11914 W 49th Pl, Shawnee, KS 66216-1369 | 2020-08-25 |
| 1154948479 | Kathleen Rutschman | Nurse Practitioner | 106 Se 12th, Newton, KS 67114-6711 | 2020-07-02 |
| 1972142404 | Lindsay Renae Holman | Nurse Practitioner | 1218 Loring St, Haysville, KS 67060-1923 | 2020-01-01 |
| 1457709859 | Amy Stutzman | Nurse Practitioner | 715 Medical Center Dr Ste 100, Newton, KS 67114-9056 | 2016-05-26 |
| 1780066779 | Kara Hentzen | Nurse Practitioner | 1811 N Northwest Pkwy, Wichita, KS 67212-1485 | 2015-06-25 |
| 1215206966 | Kandy Rose Powers | Nurse Practitioner | 2330 Shawnee Mission Pkwy Ste 1102, Westwood, KS 66205-2005 | 2011-12-27 |
| 1386965259 | Nicole Hedberg | Nurse Practitioner | Ku Neurosurgery 3901 Rainbow Blvd, Mail Stop 3021, Kansas City, KS 66160-0001 | 2010-06-15 |
| 1699862318 | Debra E Wagner | Nurse Practitioner | 1100 N Saint Francis St Ste 130, Wichita, KS 67214-2865 | 2006-10-06 |
| 1184225674 | Amanda K Rempe | Nurse Practitioner | 925 N Hillside St, Wichita, KS 67214-3219 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | OVERLAND PARK |
| Zip Code | 66213 |
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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.