MAWD PATHOLOGY GROUP PA (NPI# 1033108519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033108519 |
| Entity Type | Organization |
| Organization Name | MAWD PATHOLOGY GROUP PA |
| Practice Address |
9705 Lenexa Dr Ste 420 Lenexa KS 66215-1345 |
| Practice Telephone | 9133968509 |
| Practice Fax Number | 9134959743 |
| Mailing Telephone | 9133968509 |
| Mailing Fax Number | 9134959743 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2019-03-28 |
| Authorized Official Name | JEFF W WILSON (GENERAL MANAGER) |
| Authorized Official Telephone | 9133968509 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
26D0652254 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE - RAILROAD | 690077079 | 01 |
| MO | MEDICARE - RAILROAD | C50355 | 01 |
| KS | 100213310A | 05 | |
| MO | 700717119 | 05 |
| Street Address |
9705 LENEXA DR STE 420 |
| City | LENEXA |
| State | KS |
| Zip Code | 66215-1345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442193 | Breanna Kay Bezona | Chiropractor | 13830 Sante Fe Trail Dr., St. 104, Lenexa, KS 66215 | 2020-06-25 |
| 1801458542 | Paula Aileen Rogers | Registered Nurse | 14831 W 95th Street, Lenexa, KS 66215 | 2019-07-02 |
| 1154988780 | Michelle Marie Magri | Counselor | 8645 Hauser Court, Lenexa, KS 66215 | 2019-05-20 |
| 1891267100 | Beulah Mathew | Physical Therapist | Lakeview Village, 9100 Park St., Lenexa, KS 66215 | 2018-12-27 |
| 1609350123 | Courtney Smith | Behavior Technician | 9340 Gillette St., Lenexa, KS 66215 | 2018-09-20 |
| 1588182398 | Tlc Medical Transport LLC | Non-emergency Medical Transport (VAN) | 14425 College Blvd, Suite 111, Lenexa, KS 66215 | 2017-08-31 |
| 1376991091 | Abbie Elizabeth Martin | Nurse Practitioner | 1220 W. 106th Street, Suite 230, Overland Park, KS 66215 | 2016-06-03 |
| 1093199051 | Janita-jade Coffey | Nurse Practitioner | 10600 Quivira Rd Ste 320, Overland Park, KS 66215 | 2015-07-18 |
| 1518349109 | Timothy James Kamerzell | Internal Medicine | 10601 Quivira Rd Ste 200, Overland Park, KS 66215 | 2015-06-19 |
| 1245633916 | Maria Kintu | Licensed Practical Nurse | 12316 W 79th Terr, Lenexa, KS 66215 | 2014-10-08 |
| Find all providers in zip 66215 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063491009 | Robert S Strobach | Pathology | 10101 Renner Blvd, Suite A, Lenexa, KS 66219-9752 | 2006-01-10 |
| 1427037464 | Michael C Morgan | Pathology | 9705 Lenexa Dr Ste 128, Lenexa, KS 66215-1345 | 2006-01-10 |
| 1508249228 | Mawd Pathology Partners Pa | Pathology | 9705 Lenexa Dr, Lenexa, KS 66215-1345 | 2015-06-30 |
| 1205219938 | Mawd Laboratory Partners Pa | Pathology | 9705 Lenexa Dr, Lenexa, KS 66215-1345 | 2015-06-30 |
| 1649674326 | Lewis Patrick James | Pathology | 10101 Renner Blvd, Lenexa, KS 66219-9752 | 2014-10-09 |
| 1023253192 | Mawd Pathology Group Inc | Pathology | 9705 Lenexa Dr, Lenexa, KS 66215-1345 | 2008-12-03 |
| 1093832131 | Monisha Dandekar | Pathology | 10101 Renner Blvd, Sutie A, Lenexa, KS 66219-9752 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831694900 | Anna Louise Heimes Dillon | Pathology | 3901 Rainbow Boulvard, Kansas City, KS 66160-0001 | 2018-03-29 |
| 1598105165 | Fredrick Andrew Tweet | Pathology | 876 Highway K 171, Pittsburg, KS 66762-8748 | 2013-06-27 |
| 1053682559 | William Neil Leifer | Pathology | 9500 Sw Jordan Rd, Wakarusa, KS 66546-9324 | 2012-01-16 |
| 1972872943 | Jean Alan Sanders | Pathology | 2820 Tomahawk Drive, Lawrence, KS 66049 | 2011-12-21 |
| 1750675096 | Stephanie Marie Wood | Pathology | 3901 Rainbow Blvd Dept Of, Kansas City, KS 66160-3011 | 2011-06-03 |
| 1801187125 | Hana Albrecht | Pathology | 1500 Sw Tenth Avenue, Topeka Pathology Group, LLC, Topeka, KS 66604 | 2011-04-20 |
| 1982892212 | Marion Francis Biondo | Pathology | 11717 Brookwood Ave, Leawood, KS 66211-2903 | 2007-10-11 |
| 1609908821 | Basem B. Ahmed | Pathology | University of Kansas Medical Ctr 3901 Rainbow Blvd, 2017 Wahl Hall West Ms 3045, Kansas City, KS 66160-0001 | 2007-03-12 |
| 1083746283 | Maura Frances O'neil | Pathology | University of Kansas Medical Center 3901 Rainbow Blvd, 2017 Wahl Hall West Ms 3045, Kansas City, KS 66160-0001 | 2007-03-12 |
| 1629121686 | Joel W Alderson | Pathology | 959 N St Francis, Wichita, KS 67214-3821 | 2007-01-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.