| Liveactive Multispecialty Physician Group Llc | |
|
6650 W 110th Street Suite 220a Overland Park KS 66211 | |
| (913) 549-3884 | |
| (913) 273-3343 |
| Full Name | Liveactive Multispecialty Physician Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6650 W 110th Street, Overland Park, Kansas |
| Authorized Official Name and Position | Haseeb Ahmed (OWNER) |
| Authorized Official Contact | 9135493884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Liveactive Multispecialty Physician Group Llc 7111 W 151st St Ste 303 Overland Park KS 66223-2231 Ph: (913) 549-3884 | Liveactive Multispecialty Physician Group Llc 6650 W 110th Street Suite 220a Overland Park KS 66211 Ph: (913) 549-3884 |
| NPI Number | 1558093575 |
|---|---|
| Provider Enumeration Date | 06/28/2022 |
| Last Update Date | 06/28/2022 |
| Medicare PECOS PAC ID | 9436520954 |
|---|---|
| Medicare Enrollment ID | O20230120000806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558093575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Secondary |
| Provider Name | Haseeb Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972701571 PECOS PAC ID: 4587788013 Enrollment ID: I20100903000804 |
| Provider Name | Christopher Avila |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043507148 PECOS PAC ID: 0547486045 Enrollment ID: I20140718000343 |
| Provider Name | Lisa M Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174097810 PECOS PAC ID: 6800122961 Enrollment ID: I20190926000760 |
| Provider Name | Ramiro Montemayor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467001982 PECOS PAC ID: 4587078407 Enrollment ID: I20210203002788 |
| Provider Name | Junaid Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376830109 PECOS PAC ID: 1759530934 Enrollment ID: I20211201001631 |
| Provider Name | Madeleine J Dusselier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689338980 PECOS PAC ID: 7618361122 Enrollment ID: I20220228000515 |
Midwest Hospital Specialists, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10901 Granada Ln, Ste. 200, Overland Park, KS 66211 Phone: 913-660-1616 Fax: 913-660-1664 | |
Francisco M. Garcia, M D Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10640 W 87th St, Overland Park, KS 66214 Phone: 913-888-0780 Fax: 913-888-3402 | |
Millie Medical Of Kansas, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12022 Blue Valley Pkwy Ste 523, Overland Park, KS 66213 Phone: 561-476-0060 | |
Saint Lukes Physician Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8501 W 95th St, Overland Park, KS 66212 Phone: 913-323-8880 | |
Optum Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6860 W 115th St, Overland Park International Trade, Overland Park, KS 66211 Phone: 800-645-9656 | |
Optum Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6860 W 115th St, Overland Park, KS 66211 Phone: 913-253-0601 | |
Spira Innovations, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Spira Care Overland Park 7341 W. 133rd St, Overland Park, KS 66213 Phone: 191-329-7747 |