| Menorah Medical Group, Llc | |
|
5701 W 119th St Suite 150 Overland Park KS 66209-3721 | |
| (913) 491-3724 | |
| (913) 491-1281 |
| Full Name | Menorah Medical Group, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5701 W 119th St, Overland Park, Kansas |
| Authorized Official Name and Position | Patrick J Kueny (VICE PRESIDENT) |
| Authorized Official Contact | 8165084090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Menorah Medical Group, Llc 5701 W 119th St Suite 150 Overland Park KS 66209-3721 Ph: (913) 491-3724 | Menorah Medical Group, Llc 5701 W 119th St Suite 150 Overland Park KS 66209-3721 Ph: (913) 491-3724 |
| NPI Number | 1386957223 |
|---|---|
| Provider Enumeration Date | 07/21/2010 |
| Last Update Date | 07/21/2010 |
| Medicare PECOS PAC ID | 1355535162 |
|---|---|
| Medicare Enrollment ID | O20101104001343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386957223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kelly James Hendricks |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043329147 PECOS PAC ID: 6709852254 Enrollment ID: I20100913000057 |
| Provider Name | Aakash A Shah |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750326922 PECOS PAC ID: 6507910585 Enrollment ID: I20100929000569 |
| Provider Name | Lina M Obrien |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1982608386 PECOS PAC ID: 5890854483 Enrollment ID: I20110107000050 |
| Provider Name | Benyamine Mizrahi |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1902095805 PECOS PAC ID: 7012100530 Enrollment ID: I20110107000063 |
| Provider Name | David Warner Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245381813 PECOS PAC ID: 3678742731 Enrollment ID: I20120924000794 |
| Provider Name | Sarah Kay Baldassaro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861711012 PECOS PAC ID: 0749405975 Enrollment ID: I20140702001150 |
| Provider Name | Jeremy W Cravens |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1134212913 PECOS PAC ID: 4880839257 Enrollment ID: I20160513000139 |
| Provider Name | Natasha Ahmed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861758716 PECOS PAC ID: 7315240553 Enrollment ID: I20160729000382 |
| Provider Name | Laura A Parks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285835090 PECOS PAC ID: 1850469016 Enrollment ID: I20170612000070 |
| Provider Name | Cara Nuss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760818496 PECOS PAC ID: 4284908104 Enrollment ID: I20170915002163 |
| Provider Name | Karina Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205353927 PECOS PAC ID: 6608142435 Enrollment ID: I20171024000672 |
| Provider Name | Katherine Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710496351 PECOS PAC ID: 0941567457 Enrollment ID: I20171207002123 |
| Provider Name | Nicole A Zwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912406778 PECOS PAC ID: 9739442559 Enrollment ID: I20180409002358 |
| Provider Name | Esraa Aly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265931786 PECOS PAC ID: 9234492612 Enrollment ID: I20180417002747 |
| Provider Name | Darcy Donovan Shaw |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942438643 PECOS PAC ID: 5496970097 Enrollment ID: I20181004001760 |
| Provider Name | Suhel Kotwal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942513239 PECOS PAC ID: 3577712082 Enrollment ID: I20210728001105 |
| Provider Name | Ann Barela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942759444 PECOS PAC ID: 5698063022 Enrollment ID: I20210819000407 |
| Provider Name | Vivian Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023771185 PECOS PAC ID: 7618369133 Enrollment ID: I20220113000793 |
| Provider Name | Robert Kress |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1083068803 PECOS PAC ID: 1658755350 Enrollment ID: I20220830001414 |
| Provider Name | Stephanie Peters |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871989103 PECOS PAC ID: 9032411574 Enrollment ID: I20221201001224 |
| Provider Name | Suzanna Kay Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154019255 PECOS PAC ID: 8527428713 Enrollment ID: I20231228001394 |
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 |