Total Wound Care Llc | |
7900 College Blvd Ste 143 Overland Park KS 66210-2194 | |
(913) 286-4448 | |
Not Available |
Full Name | Total Wound Care Llc |
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Speciality | Nurse Practitioner |
Location | 7900 College Blvd Ste 143, Overland Park, Kansas |
Authorized Official Name and Position | Gary Hollingsworth (MANAGING DIRECTOR) |
Authorized Official Contact | 8173602008 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Total Wound Care Llc 250 Miron Dr Ste 120 Southlake TX 76092-7853 Ph: () - | Total Wound Care Llc 7900 College Blvd Ste 143 Overland Park KS 66210-2194 Ph: (913) 286-4448 |
NPI Number | 1215782834 |
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Provider Enumeration Date | 04/18/2024 |
Last Update Date | 05/21/2024 |
Medicare PECOS PAC ID | 5991247843 |
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Medicare Enrollment ID | O20240606001147 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215782834 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
Provider Name | Jessica Croft |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063064152 PECOS PAC ID: 7810225760 Enrollment ID: I20190829004069 |
Provider Name | Natalie C Crumpler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861024663 PECOS PAC ID: 8729418686 Enrollment ID: I20200417001306 |
Provider Name | Sammantha Sue Lyman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194426833 PECOS PAC ID: 6204201809 Enrollment ID: I20230413000878 |
Provider Name | Deborah Thomson-diaz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851926638 PECOS PAC ID: 9739536921 Enrollment ID: I20240606002002 |
Provider Name | Sado Al Bitar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073742466 PECOS PAC ID: 4789835133 Enrollment ID: I20240628000642 |
Provider Name | Michelle Mackin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962120543 PECOS PAC ID: 8729128426 Enrollment ID: I20241211003462 |
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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 | |
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