Jessica M Blake (NPI# 1477955755, PAC ID# 0648592717) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1477955755 |
| PAC ID by PECOS | 0648592717 |
| Professional Enrollment ID | I20141126000773 |
| Full Name | Jessica M Blake |
| Organization Legal Name | OVERLAND PARK SURGICAL SPECIALTIES LLC |
| Address |
15101 Glenwood Ave Stanley KS 66223-3154 |
| Phone Number | 9136818866 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9234318502 |
| Number of Group Practice Members | 131 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 15101 Glenwood Ave, Stanley, KS 66223-3154 | 9136818866 | OVERLAND PARK SURGICAL SPECIALTIES LLC |
| Organization Legal Name | OVERLAND PARK SURGICAL SPECIALTIES LLC |
| Physicians | 129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nida Gursel Dillon | Family Medicine | Overland Park Surgical Specialties LLC | 11725 W 112th St, Overland Park, KS 66210-2761 |
| Jeremy B Kirchoff | Family Medicine | Overland Park Surgical Specialties LLC | 12210 W 87th St Pkwy, Lenexa, KS 66215-2834 |
| Coedy S Walker | Physical Therapy | Overland Park Surgical Specialties LLC | 11164 S Noble Dr, Olathe, KS 66061-7572 |
| Amy M Schleper | Registered Dietitian Or Nutrition Professional | Overland Park Surgical Specialties LLC | 10100 W 119th St, Suite 150, Overland Park, KS 66213-4100 |
| Ngoc-lan Thi Nguyen | Family Medicine | Overland Park Surgical Specialties LLC | 10600 Mastin St, Overland Park, KS 66212-5723 |
| Christopher D Wright | Family Medicine | Overland Park Surgical Specialties LLC | 1803 S Ridgeview Rd, Olathe, KS 66062-2376 |
| Young J Cho | Family Medicine | Overland Park Surgical Specialties LLC | 801 N Mur Len Rd, Suite 211, Olathe, KS 66062-1794 |
| Michael A Sabolovic | Physical Therapy | Overland Park Surgical Specialties LLC | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
| Sofia M Bacon | Physical Therapy | Overland Park Surgical Specialties LLC | 10600 Mastin St, Overland Park, KS 66212-5723 |
| Abe Shaikh | Diagnostic Radiology | Overland Park Surgical Specialties LLC | 10600 Mastin St, Overland Park, KS 66212-5723 |
| Street Address |
15101 GLENWOOD AVE |
| City | STANLEY |
| State | KS |
| Zip | 66223-3154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie R Mclean | Registered Dietitian Or Nutrition Professional | Overland Park Surgical Specialties LLC | 15101 Glenwood Ave, Stanley, KS 66223-3154 |
| Mary E Willis | Registered Dietitian Or Nutrition Professional | Overland Park Surgical Specialties LLC | 15101 Glenwood Ave, Stanley, KS 66223-3154 |
| Mitzi M Groves | Family Medicine | Overland Park Surgical Specialties LLC | 15101 Glenwood Ave, Stanley, KS 66223-3154 |
| Brooke Mcguire | Nurse Practitioner | Overland Park Surgical Specialties LLC | 15101 Glenwood Ave, Stanley, KS 66223-3154 |
| Gregory E Chambon | Family Medicine | Overland Park Surgical Specialties LLC | 15101 Glenwood Ave, Stanley, KS 66223-3154 |
| Rachel N Sandoval | Registered Dietitian Or Nutrition Professional | Overland Park Surgical Specialties LLC | 15101 Glenwood Ave, Stanley, KS 66223-3154 |
| Yutaka Kawase | Family Medicine | Overland Park Surgical Specialties LLC | 15101 Glenwood Ave, Stanley, KS 66223-3154 |
| Jenna Beth Kawase Eshcol | Family Medicine | Overland Park Surgical Specialties LLC | 15101 Glenwood Ave, Stanley, KS 66223-3154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yaw Dwomoh Sarpong | Neurosurgery | The Headache and Pain Center Pa | 8101 W 135th St, Suite 200, Overland Park, KS 66223-1111 |
| Nitin Kukkar | Orthopedic Surgery | The Headache and Pain Center Pa | 8101 W 135th St, Suite 200, Overland Park, KS 66223-1111 |
| Scott D Kaul | Certified Registered Nurse Anesthetist (crna) | The Headache and Pain Center Pa | 8101 W 135th St, Suite 200, Overland Park, KS 66223-1111 |
| Timothy P Gengler | Certified Registered Nurse Anesthetist (crna) | The Headache and Pain Center Pa | 8101 W 135th St, Suite 200, Overland Park, KS 66223-1111 |
| Jami D Crownover | Certified Registered Nurse Anesthetist (crna) | The Headache and Pain Center Pa | 8101 W 135th St, Suite 200, Overland Park, KS 66223-1111 |
| Brian E Bendorf | Certified Registered Nurse Anesthetist (crna) | The Headache and Pain Center Pa | 8101 W 135th St, Suite 200, Overland Park, KS 66223-1111 |
| Farahnaz A Jiwani | Nurse Practitioner | Headache and Pain Center Pa | 8101 W 135th St, Suite 200, Overland Park, KS 66223-1111 |
| Robin Lee Nance | Certified Registered Nurse Anesthetist | Headache and Pain Center Pa | 8101 W 135th St, Suite 200, Overland Park, KS 66223-1111 |
| Natalie Y Saisi | Nurse Practitioner | Headache and Pain Center Pa | 8101 W 135th St, Overland Park, KS 66223-1111 |
| Elizabeth M Byers | Nurse Practitioner | Erickson Health Medical Group of Kansas, Pa | 13800 Metcalf Ave, Overland Park, KS 66223-1200 |
| Find all physicians in zip 66223 | |||
| City | STANLEY |
| Zip Code | 66223 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | STANLEY + NURSE PRACTITIONER |
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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.