Harmonycares Medical Group | |
9393 W 110th St Suite 500 Overland Park KS 66210-1442 | |
(913) 800-6971 | |
(855) 618-6655 |
Full Name | Harmonycares Medical Group |
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Speciality | Family Medicine |
Location | 9393 W 110th St, Overland Park, Kansas |
Authorized Official Name and Position | Jeffrey Stevens (OWNER) |
Authorized Official Contact | 2488246000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Harmonycares Medical Group Po Box 639295 Dept 93394 Cincinnati OH 45263-9295 Ph: (248) 824-6600 | Harmonycares Medical Group 9393 W 110th St Suite 500 Overland Park KS 66210-1442 Ph: (913) 800-6971 |
NPI Number | 1770904898 |
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Provider Enumeration Date | 12/16/2013 |
Last Update Date | 04/26/2024 |
Medicare PECOS PAC ID | 9234041948 |
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Medicare Enrollment ID | O20140225000483 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770904898 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208D00000X | General Practice | (* (Not Available)) | Secondary |
Provider Name | Jasper Fullard |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770523540 PECOS PAC ID: 4486549276 Enrollment ID: I20040302000427 |
Provider Name | Shawn F Brigance |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205816949 PECOS PAC ID: 0446297733 Enrollment ID: I20090121000286 |
Provider Name | Stacy K Reyes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124097464 PECOS PAC ID: 3971668575 Enrollment ID: I20090216000094 |
Provider Name | Mary Kay Rauth-farley |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1033520291 PECOS PAC ID: 1759603004 Enrollment ID: I20150309000513 |
Provider Name | Donita L Hall |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629378401 PECOS PAC ID: 9739492307 Enrollment ID: I20150727002820 |
Provider Name | Philip B Augustine |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003195215 PECOS PAC ID: 8224357033 Enrollment ID: I20160816000684 |
Provider Name | Muna Abuerreish |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790870020 PECOS PAC ID: 5991868358 Enrollment ID: I20160913001456 |
Provider Name | Kenneth J Tobin |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1700962727 PECOS PAC ID: 3072507631 Enrollment ID: I20160920002087 |
Provider Name | Michael N Rubin |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1205824505 PECOS PAC ID: 3577466945 Enrollment ID: I20160927002373 |
Provider Name | Mana Hobson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851447049 PECOS PAC ID: 6507810736 Enrollment ID: I20161114001099 |
Provider Name | Clay M Anderson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588601215 PECOS PAC ID: 6204933393 Enrollment ID: I20161227000261 |
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