Catalyst Health Center, Pa | |
12256 State Line Rd, Leawood, KS 66209-1256 | |
(913) 345-9888 | |
Not Available |
Full Name | Catalyst Health Center, Pa |
---|---|
Type | Facility |
Speciality | Physical Medicine & Rehabilitation |
Location | 12256 State Line Rd, Leawood, Kansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538589767 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (Kansas) | Secondary |
208100000X | Physical Medicine & Rehabilitation | (Kansas) | Primary |
363AM0700X | Physician Assistant - Medical | (Kansas) | Secondary |
Provider Name | Angela Jane Garner |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952366692 PECOS PAC ID: 9436195906 Enrollment ID: I20120824000202 |
Provider Name | Shane Bisson |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1265489520 PECOS PAC ID: 2860646973 Enrollment ID: I20130125000036 |
Provider Name | Brooke M Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497168041 PECOS PAC ID: 3173748829 Enrollment ID: I20140714000595 |
Provider Name | Marcus Scott Juracek |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1376045369 PECOS PAC ID: 5890057301 Enrollment ID: I20180321002308 |
Mailing Address | Practice Location Address |
---|---|
Catalyst Health Center, Pa 12256 State Line Rd, Leawood, KS 66209-1256 Ph: (913) 345-9888 | Catalyst Health Center, Pa 12256 State Line Rd, Leawood, KS 66209-1256 Ph: (913) 345-9888 |