HICKMAN MILLS CLINIC, INC. (NPI# 1073583373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073583373 |
| Entity Type | Organization |
| Organization Name | HICKMAN MILLS CLINIC, INC. |
| Practice Address |
11201 Colorado Ave Kansas City MO 64137-2502 |
| Practice Telephone | 8167635200 |
| Practice Fax Number | 8167637124 |
| Mailing Telephone | 8167635200 |
| Mailing Fax Number | 8167637124 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DONALD D PALMER (ADMINISTRATOR) |
| Authorized Official Telephone | 8167635200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
11201 COLORADO AVE |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64137-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528069721 | Mario K Yu | Psychiatry & Neurology | 11201 Colorado Ave, Kansas City, MO 64137-2502 | 2005-08-10 |
| 1881880128 | Mario Yu Md Neurology PC | Psychiatry & Neurology | 11201 Colorado Ave, Kansas City, MO 64137-2502 | 2007-09-20 |
| 1063454452 | Jacquelyn E Boan | Nurse Practitioner | 11201 Colorado Ave, Kansas City, MO 64137-2502 | 2006-06-12 |
| 1922079276 | Joseph E Spurney | Family Medicine | 11201 Colorado Ave, Kansas City, MO 64137-2502 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235502139 | Amy Clarkson | Social Worker | 9700 Granview Rd, Kansas City, MO 64137 | 2015-11-02 |
| 1962888933 | Naomi Norton | Counselor | 11209 Myrtle Ave, Kansas City, MO 64137 | 2015-07-31 |
| 1083005375 | Oms Rehab, LLC | Durable Medical Equipment & Medical Supplies | 9678 Marion Ridge Dr, Kansas City, MO 64137 | 2015-02-09 |
| 1487904058 | Edward Perkins D.d.s. PC | Dentist | 5314 E 115 St, Kansas Ctiy, MO 64137 | 2012-09-11 |
| 1053411140 | Robert Raymond Brooks | Chiropractor | 3901 Red Bridge Road, Kansas City, MO 64137 | 2006-09-25 |
| 1972616522 | Rehab Medical of Kansas City, Inc. | Durable Medical Equipment & Medical Supplies | 9580 Marion Rdg, Kansas City, MO 64137 | 2006-08-17 |
| 1558836122 | Natasha Marie Sellens | Speech-Language Pathologist | 10330 Hickman Mills Dr, Kansas City, MO 64137 | 2018-10-09 |
| 1841784626 | Melanie Mercedes Prickett | Behavior Technician | 10330 Hickman Mills Dr, Kansas City, MO 64137 | 2018-06-15 |
| 1548754328 | Phillip Carl Easley | Behavior Technician | 10330 Hickman Mills Dr, Kansas City, MO 64137 | 2018-06-15 |
| 1821582602 | Victoria Amanda Dolan | Behavior Technician | 10330 Hickman Mills Dr, Kansas City, MO 64137 | 2018-06-15 |
| Find all providers in zip 64137 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356834774 | Lowell Fletcher | Family Medicine | Medical Office Building 2000 Olathe Blvc, Kansas City, KS 66160-0001 | 2018-06-11 |
| 1467943571 | Stopgap | Family Medicine | 202 Admiral Blvd, Kansas City, MO 64106-1504 | 2018-05-24 |
| 1376048876 | Eddy I Ndichie Jr. | Family Medicine | 7900 Lees Summit Rd Fl 3, Kansas City, MO 64139-1236 | 2018-03-27 |
| 1891218541 | Elizabeth Swarna Mukherjee | Family Medicine | 2000 Olathe Blvd, Kansas City, KS 66160 | 2017-07-24 |
| 1639692098 | Partners In Primary Care Nc P C | Family Medicine | 301 E Armour Blvd Ste 2east, Kansas City, MO 64111-1245 | 2017-07-18 |
| 1740719749 | Alejandro Javier Montoya | Family Medicine | 2000 Ne Vivion Rd Ste 100, Kansas City, MO 64118-6127 | 2017-06-05 |
| 1689024382 | Christopher Hazen Short | Family Medicine | 2016 W 43rd Ave Ste A, Kansas City, KS 66103-3313 | 2016-06-14 |
| 1063889905 | Plaza Aesthetics & Wellness LLC | Family Medicine | 4806 Belleview Ave, Kansas City, MO 64112-1321 | 2015-08-26 |
| 1174904544 | Nathan L Boehr | Family Medicine | 5643 Locust St, Kansas City, MO 64110-2735 | 2015-06-11 |
| 1992107585 | Richard Cruz Ibarra | Family Medicine | 754 Pacific Ave, Kansas City, KS 66101-3714 | 2014-09-25 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64137 |
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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.