Lisa Waxman (NPI# 1679586366, PAC ID# 0547397648) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1679586366 |
| PAC ID by PECOS | 0547397648 |
| Professional Enrollment ID | I20100513000415 |
| Full Name | Lisa Waxman |
| Organization Legal Name | KANSAS MEDICAL CLINIC PA |
| Address |
10940 Parallel Pkwy Suite M Kansas City KS 66109-4515 |
| Phone Number | 9133349350 |
| Gender | F |
| Medical School | UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 4981592334 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10940 Parallel Pkwy, Suite M, Kansas City, KS 66109-4515 | 9133349350 | KANSAS MEDICAL CLINIC PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | KANSAS MEDICAL CLINIC PA |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jayda Michelle Rupp | Nurse Practitioner | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Carla K Skytta | Plastic and Reconstructive Surgery | Kansas Medical Clinic Pa | 6001 Sw6th Ave, Topeka, KS 66615-1011 |
| Majdy A Albahhar | Dermatology | Kansas Medical Clinic Pa | 4201 Anderson Ave, B2, Manhattan, KS 66503-7603 |
| Alexandra Nicole Heeren | Nurse Practitioner | Kansas Medical Clinic Pa | 2921 Swwanamaker Dr, Topeka, KS 66614-5328 |
| Cecil J Fackrell | Physician Assistant | Kansas Medical Clinic Pa | 6333 Long Ave, Suite 360, Shawnee, KS 66216-2544 |
| Lee R Bittenbender | Dermatology | Kansas Medical Clinic Pa | 3511 Clinton Pl C, Lawrence, KS 66047-2213 |
| James V Allen | Dermatology | Kansas Medical Clinic Pa | 11301 Nall Ave, Suite 205, Leawood, KS 66211-1672 |
| Shekhar K Challa | Gastroenterology | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Walter A Dean | Physician Assistant | Kansas Medical Clinic Pa | 3511 Clinton Pl C, Lawrence, KS 66047-2213 |
| Shannon E Mawyin | Certified Registered Nurse Anesthetist (crna) | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Street Address |
10940 PARALLEL PKWY SUITE M |
| City | KANSAS CITY |
| State | KS |
| Zip | 66109-4515 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Renee Shelly | Physical Therapy | Arc Physical Therapy Plus Lp | 10940 Parallel Pkwy, Suite 1, Kansas City, KS 66109-4431 |
| Diana L Dickey | Physical Therapy | Arc Physical Therapy Plus Lp | 10940 Parallel Pkwy, Suite 1, Kansas City, KS 66109-4431 |
| Charlene Ann Mies | Physical Therapy | Arc Physical Therapy Plus Lp | 10940 Parallel Pkwy, Suite 1, Kansas City, KS 66109-4431 |
| Garrett Holle | Physical Therapy | Arc Physical Therapy Plus Lp | 10940 Parallel Pkwy, Suite 1, Kansas City, KS 66109-4431 |
| Eric R Hyer | Physical Therapy | Arc Physical Therapy Plus Lp | 10940 Parallel Pkwy, Suite 1, Kansas City, KS 66109-4431 |
| Mark A Callanan | Physical Therapy | Arc Physical Therapy Plus Lp | 10940 Parallel Pkwy, Suite 1, Kansas City, KS 66109-4431 |
| Christopher Bouton | Physical Therapy | Arc Physical Therapy Plus Lp | 10940 Parallel Pkwy, Suite 1, Kansas City, KS 66109-4431 |
| Tiffany Broeckelman | Physical Therapy | Arc Physical Therapy Plus Lp | 10940 Parallel Pkwy, Kansas City, KS 66109-4431 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Currier Brown | Emergency Medicine | Saint Luke's South Hospital Inc | 10544 Parallel Pkwy, Kansas City, KS 66109-3643 |
| Jason David Bruns | Emergency Medicine | Saint Luke's South Hospital Inc | 10544 Parallel Pkwy, Kansas City, KS 66109-3643 |
| Samir K. Doshi | Emergency Medicine | Saint Luke's South Hospital Inc | 10544 Parallel Pkwy, Kansas City, KS 66109-3643 |
| Ryan C Geddes | Emergency Medicine | Saint Luke's South Hospital Inc | 10544 Parallel Pkwy, Kansas City, KS 66109-3643 |
| Heather K Devore | Emergency Medicine | Saint Luke's South Hospital Inc | 10544 Parallel Pkwy, Kansas City, KS 66109-3643 |
| Ryan Gallagher | Emergency Medicine | Saint Luke's South Hospital Inc | 10544 Parallel Pkwy, Kansas City, KS 66109-3643 |
| Johnathan Almeida | Emergency Medicine | Saint Luke's South Hospital Inc | 10544 Parallel Pkwy, Kansas City, KS 66109-3643 |
| Stephanie L Davis | Emergency Medicine | Saint Luke's South Hospital Inc | 10544 Parallel Pkwy, Kansas City, KS 66109-3643 |
| Emily Suzanne Hyatt | Emergency Medicine | Saint Luke's South Hospital Inc | 10544 Parallel Pkwy, Kansas City, KS 66109-3643 |
| Jeremiah E Yerton | Emergency Medicine | Kansas City Community Hospital LLC | 10544 Parallel Pkwy, Kansas City, KS 66109-3643 |
| Find all physicians in zip 66109 | |||
| City | KANSAS CITY |
| Zip Code | 66109 |
| Specialty | DERMATOLOGY |
| City + Specialty | KANSAS CITY + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.