Shelby Nicole Ising (NPI# 1124507504, PAC ID# 1658611413) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1124507504 |
| PAC ID by PECOS | 1658611413 |
| Professional Enrollment ID | I20190314001742 |
| Full Name | Shelby Nicole Ising |
| Organization Legal Name | SAINT LUKES PHYSICIAN GROUP INC |
| Address |
12300 Metcalf Ave Overland Park KS 66213-1324 |
| Phone Number | 9133177000 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3577476894 |
| Number of Group Practice Members | 862 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260138 | ST LUKES HOSPITAL OF KANSAS CITY |
| Address | Phone | Organization |
|---|---|---|
| 4401 Wornall Rd, Peet Center 5th Floor, Kansas City, MO 64111-3220 | 8169322068 | SAINT LUKES PHYSICIAN GROUP INC |
| 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 9133177000 | SAINT LUKES PHYSICIAN GROUP INC |
| Organization Legal Name | SAINT LUKES PHYSICIAN GROUP INC |
| Physicians | 837 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Keith Twillman | Psychologist, Clinical | Saint Lukes Physician Group Inc | 4225 Baltimore Ave, Kansas City, MO 64111-2304 |
| Neelofar Lalani | Psychiatry | Saint Lukes Physician Group Inc | 601 S 169 Hwy, Smithville, MO 64089-9317 |
| Benjamin J Kulow | General Surgery | Saint Lukes Physician Group Inc | 5844 Nw Barry Rd, Suite 120, Kansas City, MO 64154-1483 |
| Anthony Hamid Tabatabai | General Surgery | Saint Lukes Physician Group Inc | 120 Ne Saint Lukes Blvd, Suite 220, Lees Summit, MO 64086-6000 |
| Edgar Friedrich Prasthofer | Hematology/oncology | Saint Lukes Physician Group Inc | 110 Ne Saint Lukes Blvd, Suite 500, Lees Summit, MO 64086-6000 |
| Carl Dubose | Psychiatry | Saint Lukes Physician Group Inc | 4400 Broadway, Suite 407, Kansas City, MO 64111-3342 |
| Yuri Shif | Diagnostic Radiology | Saint Lukes Physician Group Inc | 700 Branch St, Suite 1, Platte City, MO 64079-9298 |
| Rebekah J. Abbott | Family Medicine | Saint Lukes Physician Group Inc | 5405 W 151st St, Slmg Blue Valley, Leawood, KS 66224-8700 |
| Daniel Steinhaus | Cardiac Electrophysiology | Saint Lukes Physician Group Inc | 1004 Progress Dr, Suite 220, Lansing, KS 66043-6327 |
| Sherry Lee Broadhurst | Nurse Practitioner | Saint Lukes Physician Group Inc | 4401 Wornall Rd, Kansas City, MO 64111-3220 |
| Street Address |
12300 METCALF AVE |
| City | OVERLAND PARK |
| State | KS |
| Zip | 66213-1324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa M Hermes | Physical Medicine and Rehabilitation | Saint Lukes Physician Group Inc | 12300 Metcalf Ave, Overland Park, KS 66213-1324 |
| Dani J Cossette | Certified Registered Nurse Anesthetist (crna) | Saint Lukes Physician Group Inc | 12300 Metcalf Ave, Overland Park, KS 66213-1324 |
| Christopher Avila | Hospitalist | Saint Lukes Physician Group Inc | 12300 Metcalf Ave, Overland Park, KS 66213-1324 |
| Rachel S Buerman | Certified Registered Nurse Anesthetist (crna) | Saint Lukes Physician Group Inc | 12300 Metcalf Ave, Overland Park, KS 66213-1324 |
| Rola A Mahmoud | Neurology | Saint Lukes Physician Group Inc | 12300 Metcalf Ave, Overland Park, KS 66213-1324 |
| Rebecca Burfeind | Interventional Pain Management | Pain Management Associates | 12300 Metcalf Ave, Overland Park, KS 66213-1324 |
| Christopher J Waldschmidt | Emergency Medicine | Mep Kansas LLC | 12300 Metcalf Ave, Overland Park, KS 66213-1324 |
| Christopher E Bowser | Emergency Medicine | Mep Kansas LLC | 12300 Metcalf Ave, Overland Park, KS 66213-1324 |
| Johanna L Mccullagh | Nephrology | Kansas City Kidney Consultants Pa | 12300 Metcalf Ave, Overland Park, KS 66213-1324 |
| Sarah F Linderman | Emergency Medicine | Mep Kansas LLC | 12300 Metcalf Ave, Overland Park, KS 66213-1324 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin M Pierce | Optometry | Overland Park Eye Center Inc | 7500 W 119th St, Overland Park, KS 66213-1108 |
| Joseph M Schwerdtfeger | Optometry | Overland Park Eye Center Inc | 7500 W 119th St, Overland Park, KS 66213-1108 |
| Victoria Lee Rebman | Chiropractic | 7108 W 119th St, Overland Park, KS 66213-1116 | |
| Bradley E Davis | Urology | Urologic Surgery Associates, Pa | 12330 Metcalf Ave, Suite 100, Overland Park, KS 66213-1301 |
| Molly Beth Harris | Nurse Practitioner | Saint Lukes Physician Group Inc | 12330 Metcalf Ave, Suite 260, Overland Park, KS 66213-1302 |
| Felicia D Menefee | Clinical Nurse Specialist | Saint Luke's Physician Group I, LLC | 12330 Metcalf Ave, Suite 280, Overland Park, KS 66213-1302 |
| Richard B Price | Otolaryngology | 12330 Metcalf Ave, Suite 550, Overland Park, KS 66213-1305 | |
| Kristin J Marhee | Nurse Practitioner | Saint Lukes Physician Group Inc | 12330 Metcalf Ave, Suite 560, Overland Park, KS 66213-1305 |
| Mignon M Makos | Neurology | Saint Lukes Physician Group Inc | 12330 Metcalf Ave, Suite 420, Overland Park, KS 66213-1307 |
| Peter J Caruso | Obstetrics/gynecology | Saint Lukes Physician Group Inc | 12330 Metcalf Ave, Suite 420, Overland Park, KS 66213-1307 |
| Find all physicians in zip 66213 | |||
| City | OVERLAND PARK |
| Zip Code | 66213 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OVERLAND PARK + 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.