OVERLAND PEDIATRICS AND INFECTIOUS DISEASE CARE LLC (NPI# 1801932355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801932355 |
Entity Type | Organization |
Organization Name | OVERLAND PEDIATRICS AND INFECTIOUS DISEASE CARE LLC |
Practice Address |
930 Carondelet Dr Suite 303 Kansas City MO 64114-4855 |
Practice Telephone | 8169410440 |
Practice Fax Number | 8169419966 |
Mailing Telephone | 8169410440 |
Mailing Fax Number | 8169419966 |
Enumeration Date | 2007-01-30 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. ARMISA TONGSON CULLENS (CEO) |
Authorized Official Telephone | 8169410440 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | 0422532 | KS | Allopathic & Osteopathic Physicians |
Y | 208000000X | Pediatrics | R1J85 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | 2050070802 | 05 |
Street Address |
930 CARONDELET DR SUITE 303 |
City | KANSAS CITY |
State | MO |
Zip Code | 64114-4855 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477556512 | Paula Louise Eaton | Obstetrics & Gynecology | 930 Carondelet Dr, Ste 304, Kansas City, MO 64114-4698 | 2005-05-23 |
1588197982 | Alicia M Shuker | Nurse Practitioner | 930 Carondelet Dr, Ste 201, Kansas City, MO 64114 | 2017-04-04 |
1669849956 | Omer Leroy | Nurse Practitioner | 930 Carondelet Dr, Ste 201, Kansas City, MO 64114 | 2015-08-21 |
1306220447 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 930 Carondelet Dr, Kansas City, MO 64114-4855 | 2015-07-18 |
1659778264 | Physicians Reference Laboratory LLC | Clinical Medical Laboratory | 930 Carondelet Dr, Bldg C Ste 201, Kansas City, MO 64114-4855 | 2014-11-25 |
1982018719 | Carondelet Physician Services, Inc | Family Medicine | 930 Carondelet Dr, Suite 304, Kansas City, MO 64114-4855 | 2014-06-19 |
1881934768 | Lab One LLC | Clinical Medical Laboratory | 930 Carondelet Dr, Suite 200, Kansas City, MO 64114-4855 | 2013-02-28 |
1376717181 | Kay Hamilton | Nurse Practitioner | 930 Carondelet Dr, Suite 302, Kansas City, MO 64114-4855 | 2008-04-14 |
1497933626 | Norman I Bamber | Neurological Surgery | 930 Carondelet Dr, Suite 300, Kansas City, MO 64114-4855 | 2008-02-11 |
1942320767 | Mohsin Quinn Soliman | Surgery | 930 Carondelet Dr, Suite 104, Kansas City, MO 64114-4855 | 2007-03-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164055968 | Nova Home Infusion, LLC | Home Infusion | 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 | 2020-02-20 |
1770011017 | Rene Thomsen | Counselor | 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 | 2017-05-31 |
1114452075 | Accent Home Health Care LLC | In Home Supportive Care | 7817 Wornall Rd, Kansas City, MO 64114 | 2017-04-27 |
1174982599 | Mei Dodson | Contractor | 8901 Washington St, Kansas City, MO 64114 | 2016-02-12 |
1851784805 | Sarah Jeannette Gulledge | Registered Nurse | 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 | 2015-03-16 |
1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
1013339753 | Kati Mayer | Physical Therapist | 10008 Walnut Dr., #202, Kansas City, MO 64114 | 2014-01-15 |
1619270311 | Gavett Burch | Marriage & Family Therapist | 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 | 2010-12-18 |
1679873046 | Ken Kidd Inc Dba Miracle-ear | Hearing Instrument Specialist | 1148 W. 103rd St, Kansas City, MO 64114 | 2010-11-01 |
1316264161 | Elizabeth Vasquez | Physician Assistant | 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 | 2010-05-03 |
Find all providers in zip 64114 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134780430 | Jane Reardon | Pediatrics | 8140 Ward Pkwy Ste 275, Kansas City, MO 64114-2032 | 2019-06-26 |
1326548579 | Clarissa Ryan Gillen | Pediatrics | 9140 Ward Pkwy Ste 201, Kansas City, MO 64114-3327 | 2018-02-14 |
1306363858 | Children's Mercy - Redwood Pediatrics | Pediatrics | 9151 Ne 81st St, Suite 240, Kansas City, MO 64158-1307 | 2017-08-25 |
1811438013 | Lauren Hughes | Pediatrics | 2870 W 47th Ave, Kansas City, KS 66103-3243 | 2017-03-20 |
1033592795 | Kubra Melike Bozkanat | Pediatrics | University of Kansas Hospital Pediatrics, 3901 Rainbow Blvd. M/s 4004, Kansas City, KS 66160-0001 | 2015-06-30 |
1821417965 | Angela Kay Linz | Pediatrics | 4400 Broadway Ste 206, Kansas City, MO 64111-3342 | 2014-04-15 |
1669890620 | Michelle Marie Knoll | Pediatrics | 3101 Broadway Blvd Ste 900, Kansas City, MO 64111 | 2014-04-06 |
1477971141 | Michael Bradley Nelson | Pediatrics | 2000 Olathe # 3b, Kansas City, KS 66160-2620 | 2014-03-31 |
1104243245 | Kelstan Lynch Ellis | Pediatrics | University of Kansas Pediatrics Residency, 3901 Rainbow Blvd. M/s 4004, Kansas City, KS 66160 | 2014-03-26 |
1215374244 | Jennifer Isham | Pediatrics | 1004 Carondelet Dr Ste 310, Kansas City, MO 64114-4801 | 2013-05-31 |
Find all providers in KANSAS CITY |
City | KANSAS CITY |
Zip Code | 64114 |
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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.