DR. DANA C. MALIS (NPI# 1871558692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871558692 |
| Entity Type | Individual |
| Full Name | DR. DANA C. MALIS |
| Credential | MD |
| Practice Address |
10977 Granada Ln Ste 105 Leawood KS 66211-1415 |
| Practice Telephone | (913) 215-5008 |
| Mailing Telephone | (913) 215-5008 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2017-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
432123 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
10977 GRANADA LN STE 105 |
| City | LEAWOOD |
| State | KS |
| Zip Code | 66211-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679087423 | Lizy Mary Kochipillai | Nurse Practitioner | 10977 Granada Ln Ste 105, Leawood, KS 66211-1415 | 2017-11-30 |
| 1639681372 | Mark A Battist | Nurse Practitioner | 10977 Granada Ln Ste 105, Leawood, KS 66211-1415 | 2017-11-03 |
| 1669907028 | Robyn Moore | Nurse Practitioner | 10977 Granada Ln Ste 105, Leawood, KS 66211-1415 | 2017-04-24 |
| 1336527134 | Laura Badjalimbe | Internal Medicine | 10977 Granada Ln Ste 105, Leawood, KS 66211-1415 | 2015-05-12 |
| 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 | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063437176 | Shelley Lynn Alexander | Internal Medicine | 10557 Mission Rd, Leawood, KS 66206-2522 | 2006-07-12 |
| 1336527134 | Laura Badjalimbe | Internal Medicine | 10977 Granada Ln Ste 105, Leawood, KS 66211-1415 | 2015-05-12 |
| 1346579000 | Christopher B Geha Md Inc | Internal Medicine | 8800 State Line Rd, Leawood, KS 66206-1553 | 2009-12-09 |
| 1902085251 | David W Peters Md Pa | Internal Medicine | 8800 State Line Rd, Leawood, KS 66206-1553 | 2007-11-02 |
| 1275518912 | David W Peters | Internal Medicine | 8800 State Line Rd, Leawood, KS 66206-1553 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245741446 | Frontier Healthcare LLC | Internal Medicine | 12140 Nall Ave Ste 125, Overland Park, KS 66209-2503 | 2017-10-16 |
| 1942319447 | Internal Medicine Specialists, Inc | Internal Medicine | 10540 Barkley St, Suite 205, Overland Park, KS 66212-1811 | 2006-08-29 |
| 1811924780 | Charles I Davis Md Pa | Internal Medicine | 9250 Glenwood St, Suite 100, Overland Park, KS 66212-1365 | 2006-06-27 |
| 1770546129 | Pravin Sampat | Internal Medicine | 3300 Sw 29th St, Topeka, KS 66614-2039 | 2006-04-07 |
| 1346228921 | Charles Isaac Davis Jr. | Internal Medicine | 1615 Parker Ave, Osawatomie, KS 66064-1703 | 2006-01-04 |
| 1518469311 | Medical Specialists Pa | Internal Medicine | 10550 Marty St Ste 201, Overland Park, KS 66212-2557 | 2018-03-07 |
| 1699082776 | Melissa Jane Mills | Internal Medicine | 7405 Renner Rd, Ku Medwest, Shawnee, KS 66217-9414 | 2010-09-10 |
| 1619105467 | Rachel Beth Mason | Internal Medicine | 3901 Rainbow Blvd, 6040 Delp, Ms 1020, Division of General and Geriatric Medicine, Kansas City, KS 66160-0001 | 2009-06-30 |
| 1447467162 | Geary County Hospital | Internal Medicine | 1106 Saint Marys Rd, Suite 307, Junction City, KS 66441-4158 | 2007-05-16 |
| 1912127697 | Jessica L Kalender-rich | Internal Medicine | Ku Medical Center Div of General &, 3901 Rainbow Blvd, Ms 1020, Kansas City, KS 66160-0001 | 2007-04-26 |
| Find all providers with the same taxonomy | ||||
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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.