DR. DAVID P HALBACH (NPI# 1053347831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053347831 |
| Entity Type | Individual |
| Full Name | DR. DAVID P HALBACH |
| Credential | M.D. |
| Practice Address |
12317 Wenonga Ln Leawood KS 66209-1436 |
| Practice Telephone | 9134003511 |
| Mailing Telephone | 9134003511 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2011-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 2004034264 | MO | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD KC | 35021014 | 01 | |
| COMMUNITY HEALTH PLAN | 10001784000 | 01 | |
| KS | 200317660A | 05 | |
| MO | 209457506 | 05 |
| Street Address |
12317 WENONGA LN |
| City | LEAWOOD |
| State | KS |
| Zip Code | 66209-1436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265900286 | Kansas Wellness Associates LLC | Family Medicine | 4300 W 133rd Street, Suite 200, Leawood, KS 66209 | 2018-11-07 |
| 1740781871 | Courtney Collins | Physical Therapy Assistant | 6830 W. 121st. Ct, Overland Park, KS 66209 | 2018-02-23 |
| 1295246015 | Meredith Meyer Bell | Nurse Practitioner | 5064 W 130th Terrace, Leawood, KS 66209 | 2017-10-19 |
| 1740712223 | Margaret Alice Luckert | Registered Nurse | 5701 W 119th Street Suite 220, Overland Park, KS 66209 | 2017-04-03 |
| 1609311133 | Kansas City Community Hospital, LLC | General Acute Care Hospital | 13200 State Line Road, Leawood, KS 66209 | 2016-12-19 |
| 1316492499 | Christy Vopat | Occupational Therapist | 4952 W. 129 Th Terr, Leawood, KS 66209 | 2016-08-18 |
| 1861846594 | Paige Aberasturi Penick | Nutritionist | 6709 W 119th St # 207, Overland Park, KS 66209 | 2016-04-19 |
| 1568827905 | Eating Disorder Treatment Associates, LLC | Clinic/Center | 12140 Nall Avenue, Suite 315, Overland Park, KS 66209 | 2015-12-30 |
| 1689056483 | Michael Hauber | Physical Therapist | 12728 State Line Rd, Leawood, KS 66209 | 2015-06-29 |
| 1033597000 | Brooke J Heppner Mft | Marriage & Family Therapist | 6711 W. 121st Street, Suite 101, Overland Park, KS 66209 | 2015-05-11 |
| Find all providers in zip 66209 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427407774 | Kally Germano | Specialist | 13121 Buena Vista St, Leawood, KS 66209-4145 | 2016-06-07 |
| 1629313093 | Howard Ellis | Specialist | 11615 Mohawk Ln, Leawood, KS 66211-2665 | 2012-12-11 |
| 1093048373 | Debra Marie Galvin | Specialist | 5033 W 117th St, Leawood, KS 66211-2053 | 2009-09-17 |
| 1013968007 | Jeffrey Rhodes Dillow | Specialist | 4801 W 135th St, Leawood, KS 66224-8901 | 2006-05-13 |
| 1164481735 | Advanced Cosmetic Surgery, P.a. | Specialist | 11401 Nall Ave, Leawood, KS 66211-1674 | 2006-03-21 |
| 1942209366 | Lynn Daniel Ketchum | Specialist | 11111 Nall Ave, Suite 114, Leawood, KS 66211-1925 | 2005-07-18 |
| 1366441966 | Associated Plastic Surgeons PC | Specialist | 11501 Granada Ln, Leawood, KS 66211-1454 | 2005-07-18 |
| 1780689885 | Daniel J Geha | Specialist | 8800 State Line Rd, Leawood, KS 66206-1553 | 2005-06-15 |
| 1508232083 | Sowjanya Duthuluru | Specialist | 11213 Nall Ave, Suite 100, Leawood, KS 66211-1833 | 2015-08-19 |
| 1568759686 | Vordis Group Inc | Specialist | 8014 State Line Rd, Suite 100, Leawood, KS 66208-3723 | 2011-07-10 |
| Find all providers in LEAWOOD | ||||
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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.