MIDWEST DIVISION - MMC, LLC (NPI# 1255378337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255378337 |
| Entity Type | Organization |
| Organization Name | MIDWEST DIVISION - MMC, LLC |
| Other Organization Name | MENORAH MEDICAL CENTER |
| Practice Address |
5721 W 119th St Overland Park KS 66209-3722 |
| Practice Telephone | 9134986000 |
| Practice Fax Number | 9134987106 |
| Mailing Telephone | 9134986000 |
| Mailing Fax Number | 9134987106 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2016-03-30 |
| Authorized Official Name | DEBBIE GAFFORD (CFO) |
| Authorized Official Telephone | 9134986769 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BLUE CROSS | 90549036 | 01 |
| NE | 10025318900 | 05 | |
| HEALTHCARE USA | 33425 | 01 | |
| DEPT OF LABOR | 604109400 | 01 | |
| FAMILY HEALTH PARTNERS | 756900 | 01 | |
| KS | 100642360A | 05 | |
| FIRST GUARD | 304260 | 01 |
| Other Name | Type Code |
|---|---|
| MENORAH MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265479356 | Midwest Division - Mmc, LLC | Psychiatric Unit | 5721 W 119th St, Overland Park, KS 66209-3722 | 2006-05-31 |
| 1841246154 | Midwest Division - Mmc, LLC | Rehabilitation Unit | 5721 W 119th St, Overland Park, KS 66209-3722 | 2006-05-26 |
| Street Address |
5721 W 119TH ST |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66209-3722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891799557 | William Martin Chase | Radiology | 5721 W 119th St, Overland Park, KS 66209-3722 | 2005-06-10 |
| 1912520446 | Anna Polodna | Registered Nurse | 5721 W 119th St, Overland Park, KS 66209-3722 | 2020-05-19 |
| 1356974679 | Wound Integrity Kansas Pa | Family Medicine | 5721 W 119th St, Overland Park, KS 66209-3722 | 2020-02-14 |
| 1407497720 | Krystal Marie Katzer | Nurse Practitioner | 5721 W 119th St, Overland Park, KS 66209-3753 | 2019-10-08 |
| 1386207025 | Tyson Mark Frost | Nurse Anesthetist, Certified Registered | 5721 W 119th St, Overland Park, KS 66209-3753 | 2019-04-18 |
| 1487112215 | Elizabeth Allison Ruth Graham | Nurse Practitioner | 5721 W 119th St, Overland Park, KS 66209-3753 | 2019-03-11 |
| 1730646647 | Allison Hayden Bertken | Nurse Practitioner | 5721 W 119th St, Overland Park, KS 66209-3753 | 2019-02-27 |
| 1710454327 | Overland Park Kidney, LLC | Internal Medicine | 5721 W 119th St, Overland Park, KS 66209-3722 | 2018-11-01 |
| 1659878874 | Jonathan E Mowrey | Student in an Organized Health Care Education/Training Program | 5721 W 119th St, Overland Park, KS 66209-3722 | 2018-04-13 |
| 1710496351 | Katherine Wilson | Nurse Practitioner | 5721 W 119th St, Overland Park, KS 66209-3722 | 2017-09-27 |
| Find all providers in the same location | ||||
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255876652 | Shawnee Mission Medical Center Inc | General Acute Care Hospital | 7820 W 165th Street, Overland Park, KS 66223 | 2016-12-21 |
| 1679833008 | University of Kansas Hospital Authority | General Acute Care Hospital | 10720 Nall Ave, Overland Park, KS 66211-1206 | 2012-05-18 |
| 1952629370 | Pinnacle Regional Hospital, Inc. | General Acute Care Hospital | 12850 Metcalf Ave, Overland Park, KS 66213-2622 | 2010-05-10 |
| 1578500484 | Midwest Divison - Oprmc, LLC | General Acute Care Hospital | 10500 Quivira Rd, Overland Park, KS 66215-2306 | 2006-05-31 |
| 1154303337 | Saint Lukes South Hospital, Inc. | General Acute Care Hospital | 12300 Metcalf Ave, Overland Park, KS 66213 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750921029 | Topeka Er Hospital LLC | General Acute Care Hospital | 6135 Sw 17th Street, Topeka, KS 66604 | 2020-01-14 |
| 1992341473 | Mercy Specialty Hospital Southeast Kansas | General Acute Care Hospital | 1619 K66, Galena, KS 66739-4306 | 2019-11-20 |
| 1518454842 | Rock Regional Hospital, LLC | General Acute Care Hospital | 3251 Rock Road, Derby, KS 67037 | 2018-04-23 |
| 1609311133 | Kansas City Community Hospital, LLC | General Acute Care Hospital | 13200 State Line Road, Leawood, KS 66209 | 2016-12-19 |
| 1639624141 | Matthew Tyler Howard | General Acute Care Hospital | 2032 Sudler, Ku Med Center, Kansas City, KS 66160-0001 | 2016-08-25 |
| 1780137265 | Herington Municipal Hospital | General Acute Care Hospital | 100 E Helen, Herington, KS 67449-1697 | 2016-08-01 |
| 1396097317 | City of Galena-kansas | General Acute Care Hospital | 1619 K 66, Galena, KS 66739 | 2012-10-15 |
| 1871885491 | Robert J. Dole Va | General Acute Care Hospital | 613 E. Showalter, Rose Hill, KS 67133-9770 | 2011-05-16 |
| 1023334950 | Ascension Via Christi Hospital St Teresa Inc. | General Acute Care Hospital | 14800 W Saint Teresa St, Wichita, KS 67235-9602 | 2010-04-16 |
| 1710202437 | University of Kansas Medical Center | General Acute Care Hospital | 3900 Rainbow Blvd, Kansas City, KS 66103-2918 | 2010-04-06 |
| Find all providers with the same taxonomy | ||||
| City | OVERLAND PARK |
| Zip Code | 66209 |
Please comment or provide details below to improve the information on MIDWEST DIVISION - MMC, LLC.
| 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.