| Select Healthcare Pa | |
|
12140 Nall Ave Ste 305 Overland Park KS 66209-2501 | |
| (913) 948-6400 | |
| Not Available |
| Full Name | Select Healthcare Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 12140 Nall Ave Ste 305, Overland Park, Kansas |
| Authorized Official Name and Position | Peggy G Davis (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 9139486400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Select Healthcare Pa 12140 Nall Ave Ste 305 Overland Park KS 66209-2501 Ph: (913) 948-6400 | Select Healthcare Pa 12140 Nall Ave Ste 305 Overland Park KS 66209-2501 Ph: (913) 948-6400 |
| NPI Number | 1689772949 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 06/09/2021 |
| Medicare PECOS PAC ID | 1254313471 |
|---|---|
| Medicare Enrollment ID | O20040602000937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689772949 | NPI | - | NPPES |
| 1679536940 | Other | DR DAVIS NPI | |
| 1740226810 | Other | ROBYN DURST NPI | |
| 09414045 | Other | MO | DR. DAVIS BLUE CROSS |
| 16807096 | Other | MO | DR MONACO BLUE CROSS |
| 09414045 | Other | ID | |
| 34603019 | Other | ROBYN DURST BLUE CROSS | |
| 1942263215 | Other | DR MONACO NPI | |
| 110141836 | Other | DR DAVIS RAILROAD MEDICAR | |
| 1003852187 | Other | KIMBERLY NAGEL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael E Monaco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942263215 PECOS PAC ID: 2668408154 Enrollment ID: I20050715000676 |
| Provider Name | Alexander C Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679536940 PECOS PAC ID: 2860474087 Enrollment ID: I20050720000753 |
| Provider Name | Brenda J Rosenthal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831279595 PECOS PAC ID: 2466450101 Enrollment ID: I20061113000532 |
| Provider Name | Kari L Liggett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518294503 PECOS PAC ID: 3971645888 Enrollment ID: I20100114000747 |
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 |