Michael F Fomby (NPI# 1497031967, PAC ID# 5597981217) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1497031967 |
| PAC ID by PECOS | 5597981217 |
| Professional Enrollment ID | I20140731002972 |
| Full Name | Michael F Fomby |
| Organization Legal Name | QUIVIRA INTERNAL MEDICINE INC |
| Address |
10601 Quivira Rd Suite 200 Overland Park KS 66215-2320 |
| Phone Number | 9135413340 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
| Graduation Year | 2011 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1355392457 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170176 | OVERLAND PARK REG MED CTR |
| 170182 | MENORAH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10601 Quivira Rd, Suite 200, Overland Park, KS 66215-2320 | 9135413340 | QUIVIRA INTERNAL MEDICINE INC |
| Organization Legal Name | QUIVIRA INTERNAL MEDICINE INC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vijaya P Samuel | Internal Medicine | Quivira Internal Medicine Inc | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
| Shazia Walijan Munir | Internal Medicine | Quivira Internal Medicine Inc | 10601 Quivira Rd, Overland Park, KS 66215-2320 |
| Debra A Morris | Nurse Practitioner | Quivira Internal Medicine Inc | 10601 Quivira Rd, Overland Park, KS 66215-2320 |
| Timothy James Kamerzell | Internal Medicine | Quivira Internal Medicine Inc | 10601 Quivira Rd, Suite 200, Overland Park, KS 66215-2320 |
| Lori Suzanne Knudtson | Nurse Practitioner | Quivira Internal Medicine Inc | 10601 Quivira Rd, Suite 200, Overland Park, KS 66215-2320 |
| Michelle R Lester | Internal Medicine | Quivira Internal Medicine Inc | 10601 Quivira Rd, Overland Park, KS 66215-2320 |
| George E Stamos | Internal Medicine | Quivira Internal Medicine Inc | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
| Joshua Ezell | Internal Medicine | Quivira Internal Medicine Inc | 10601 Quivira Rd, Suite 200, Overland Park, KS 66215-2320 |
| Cypress M Lasalle | Nurse Practitioner | Quivira Internal Medicine Inc | 10601 Quivira Rd, Overland Park, KS 66215-2320 |
| Lawrence D Riffel | Internal Medicine | Quivira Internal Medicine Inc | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
| Street Address |
10601 QUIVIRA RD SUITE 200 |
| City | OVERLAND PARK |
| State | KS |
| Zip | 66215-2320 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Rose | Nurse Practitioner | Prime Healthcare Kansas City - Physician Services LLC | 10601 Quivira Rd, Overland Park, KS 66215-2310 |
| Janis L Harness | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 10601 Quivira Rd, Suite 100, Overland Park, KS 66215-2320 |
| Shazia Walijan Munir | Internal Medicine | Quivira Internal Medicine Inc | 10601 Quivira Rd, Overland Park, KS 66215-2320 |
| Debra A Morris | Nurse Practitioner | Quivira Internal Medicine Inc | 10601 Quivira Rd, Overland Park, KS 66215-2320 |
| Timothy James Kamerzell | Internal Medicine | Quivira Internal Medicine Inc | 10601 Quivira Rd, Suite 200, Overland Park, KS 66215-2320 |
| Lori Suzanne Knudtson | Nurse Practitioner | Quivira Internal Medicine Inc | 10601 Quivira Rd, Suite 200, Overland Park, KS 66215-2320 |
| Michelle R Lester | Internal Medicine | Quivira Internal Medicine Inc | 10601 Quivira Rd, Overland Park, KS 66215-2320 |
| Joshua Ezell | Internal Medicine | Quivira Internal Medicine Inc | 10601 Quivira Rd, Suite 200, Overland Park, KS 66215-2320 |
| Cypress M Lasalle | Nurse Practitioner | Quivira Internal Medicine Inc | 10601 Quivira Rd, Overland Park, KS 66215-2320 |
| Yelena Pinzur | Internal Medicine | Quivira Internal Medicine Inc | 10601 Quivira Rd, Suite 200, Overland Park, KS 66215-2320 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ezenwa Kevin Osuala | Nurse Practitioner | Joy E Cuezze Md LLC | 9701 Monrovia St, Lenexa, KS 66215-1564 |
| Eric M Deroo | Urology | Urologic Surgery Associates, Pa | 10550 Quivira Rd, Suite 105, Overland Park, KS 66215-2302 |
| Margaret A. Estrin | Obstetrics/gynecology | The Womens Healthcare Group Pa | 10550 Quivira Rd, Suite 410, Overland Park, KS 66215-2304 |
| Sarah L Darby | Certified Nurse Midwife | The Womens Healthcare Group Pa | 10550 Quivira Rd, Overland Park, KS 66215-2304 |
| Sarah Suzanne Yeamans | Certified Nurse Midwife | The Womens Healthcare Group Pa | 10550 Quivira Rd, Overland Park, KS 66215-2304 |
| Adam J Kaye | General Surgery | Overland Park Orthopedics LLC | 12200 W 106th St, Suite 400, Overland Park, KS 66215-2305 |
| Daniel C Farrell | Orthopedic Surgery | Overland Park Orthopedics LLC | 12200 W 106th St, Suite 400, Overland Park, KS 66215-2305 |
| Thomas F Baldwin | Cardiovascular Disease (cardiology) | Midwest Heart and Vascular Specialists LLC | 12200 W 106th St, Suite 320, Overland Park, KS 66215-2305 |
| Tracy A Cowles | Obstetrics/gynecology | Obstetrics and Pediatrics Subspecialty Group of Kansas and Missouri Pa | 12200 W 106th St, Suite 110, Overland Park, KS 66215-2305 |
| Catherine T Cheshire | Nurse Practitioner | Midwest Heart and Vascular Specialists LLC | 12200 W 106th St, Suite 320, Overland Park, KS 66215-2305 |
| Find all physicians in zip 66215 | |||
| City | OVERLAND PARK |
| Zip Code | 66215 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | OVERLAND PARK + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Michael F Fomby.
| 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.