PHILLIP A. MUNOZ (NPI# 1124092804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124092804 |
| Entity Type | Individual |
| Full Name | PHILLIP A. MUNOZ |
| Credential | MD |
| Practice Address |
10330 Hickman Mills Dr Kansas City MO 64137-1618 |
| Mailing Address |
14275 Midway Rd Suite 400 Addison TX 75001-3614 |
| Practice Telephone | 8164127004 |
| Practice Fax Number | 8167637536 |
| Mailing Telephone | 2149328029 |
| Mailing Fax Number | 6102714245 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2013-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
R2J39 | MO | Allopathic & Osteopathic Physicians |
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
04-19124 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | KANSAS LICENSE | 04-19124 | 01 |
| MO | 1124092804 | 05 | |
| MO | MEDICARE PTAN | 662000006 | 01 |
| KS | MEDICARE PTAN | 662A00007 | 01 |
| KS | 100124790F | 05 | |
| MO | MO LICENSE | R2J39 | 01 |
| Street Address |
10330 HICKMAN MILLS DR |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64137-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114905221 | Kenneth R Watson | Pathology | 10330 Hickman Mills Dr, Kansas City, MO 64137-1618 | 2006-01-09 |
| 1093344509 | Melanie Amos | Behavior Technician | 10330 Hickman Mills Dr, Kansas City, MO 64137-1618 | 2020-04-06 |
| 1891323861 | Rachelle Rozell | Behavior Technician | 10330 Hickman Mills Dr, Kansas City, MO 64137-1618 | 2020-03-27 |
| 1346878311 | Kelli Webb | Behavior Technician | 10330 Hickman Mills Dr, Kansas City, MO 64137-1618 | 2020-03-27 |
| 1740818798 | Stacy Allenbrand | Behavior Technician | 10330 Hickman Mills Dr, Kansas City, MO 64137-1618 | 2020-03-27 |
| 1942838917 | Marissa Hausman | Behavior Technician | 10330 Hickman Mills Dr, Kansas City, MO 64137-1618 | 2020-03-27 |
| 1326676388 | Hayley Grace | Behavior Technician | 10330 Hickman Mills Dr, Kansas City, MO 64137-1618 | 2020-03-27 |
| 1285262212 | Claire Williams | Behavior Technician | 10330 Hickman Mills Dr, Kansas City, MO 64137-1618 | 2020-03-27 |
| 1972131902 | Polly Riley | Behavior Technician | 10330 Hickman Mills Dr, Kansas City, MO 64137-1618 | 2020-03-27 |
| 1386272359 | Brianna Moore | Behavior Technician | 10330 Hickman Mills Dr, Kansas City, MO 64137-1618 | 2020-03-27 |
| Find all providers in the same location | ||||
| 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 |
| 1972583474 | Spofford | Community Based Residential Treatment Facility, Mental Illness | 9700 Grandview Rd, Kansas City, MO 64137-1135 | 2006-01-19 |
| 1699203521 | Carrie King | Counselor | 9700 Grandview Rd, Kansas City, MO 64137-1135 | 2017-05-23 |
| 1093264624 | Ada Jarrar | Counselor | 9700 Grandview Rd, Kansas City, MO 64137-1135 | 2016-09-23 |
| 1952704041 | Lauren Helmer | Social Worker | 9700 Grandview Rd, Kansas City, MO 64137-1135 | 2014-10-02 |
| Find all providers in zip 64137 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic 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. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). 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 |
|---|---|---|---|---|
| 1063858975 | Chirag Rasiklal Patel | Pathology | 2411 Holmes St, # M2-302 Umkc School of Medicine, Pathology Residency, Kansas City, MO 64108-2741 | 2013-05-17 |
| 1063736601 | Sheelah C Changho | Pathology | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2010-03-25 |
| 1972620243 | Roy A Jensen | Pathology | 3901 Rainbow Blvd, 1073 Delp Pavilion Mail Stop 3045, Kansas City, KS 66160-0001 | 2007-03-23 |
| 1801801642 | Physicians Reference Laboratory LLC | Pathology | 8929 Parallel Pkwy, Kansas City, KS 66112-1689 | 2006-07-30 |
| 1326006305 | Vivekanand Singh | Pathology | 2401 Gillham Rd, Children's Mercy Hospital- Pathology, Kansas City, MO 64108-4619 | 2006-05-01 |
| 1053378455 | Eugenio Miguel Taboada-arana | Pathology | 2401 Gillham Rd, Pathology Department, Kansas City, MO 64108-4619 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780182915 | Richard L Payne | Pathology | 7 Dunleith Dr, Saint Louis, MO 63124-1895 | 2018-01-23 |
| 1518389261 | Ralph Paul Mennemeyer | Pathology | 145 N Roby Farm Rd, Rocheport, MO 65279-9437 | 2014-01-15 |
| 1205056421 | Grant R Kolar | Pathology | 660 S. Euclid, Box 8118, Saint Louis, MO 63108 | 2007-04-27 |
| 1154447993 | Gustavo Alejandro Alvarez-paiva | Pathology | 121 Saint Lukes Center Dr Ste 406, Chesterfield, MO 63017 | 2007-03-22 |
| 1386723070 | Roger Alan Reichert | Pathology | 411 Rolling View Rd, Creve Coeur, MO 63141-8641 | 2006-11-03 |
| 1831188002 | Larry D Lawson | Pathology | 700 Nw Hunter Dr, Blue Springs, MO 64015-7730 | 2005-10-19 |
| 1326037656 | Mehdi Zarabi | Pathology | 3601 Ne Ralph Powell Rd Ste A, Lees Summit, MO 64064 | 2005-10-19 |
| 1598769986 | Donald Craig Allred | Pathology | 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 | 2005-06-13 |
| 1417574831 | Kasey Kreutz | Pathology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-07-01 |
| 1770100679 | Amanda Oi-yun Wong | Pathology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
| 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.