MR. SHYAM K. AKKULUGARI (NPI# 1326031006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326031006 |
| Entity Type | Individual |
| Full Name | MR. SHYAM K. AKKULUGARI |
| Credential | MD., MPH |
| Practice Address |
600 Nw Pryor Rd Lees Summit MO 64081-1104 |
| Mailing Address |
4225 W 107th St Unit 7612 Overland Park KS 66207-4446 |
| Practice Telephone | 8163472430 |
| Practice Fax Number | 9134003069 |
| Mailing Telephone | 8163472430 |
| Mailing Fax Number | 8888563199 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2020-02-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 35929 | IA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 0434165 | KS | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 2006018690 | MO | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 2006018690 | MO | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 35929 | IA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 0434165 | KS | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
2006018690 | MO | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
35929 | IA | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
0434165 | KS | Allopathic & Osteopathic Physicians |
| N | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
2006018690 | MO | Allopathic & Osteopathic Physicians |
| N | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
35929 | IA | Allopathic & Osteopathic Physicians |
| N | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
0434165 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
600 NW PRYOR RD |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64081-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376047514 | Heather Lynne Tucker | Licensed Practical Nurse | 600 Nw Pryor Rd, Lees Summit, MO 64081-1104 | 2018-03-22 |
| 1609118702 | John Knox Village | Nurse Practitioner | 600 Nw Pryor Rd, Lees Summit, MO 64081-1104 | 2013-03-27 |
| 1801101613 | Lance Adkins Vickery | Nurse Practitioner | 600 Nw Pryor Rd, Lees Summit, MO 64081-1104 | 2010-08-17 |
| 1073745493 | Summit Geriatrics LLC | Family Medicine | 600 Nw Pryor Rd, Lees Summit, MO 64081-1104 | 2009-08-18 |
| 1154511277 | Hearts With Hands Eldercare Physicians Pa | Family Medicine | 600 Nw Pryor Rd, Lees Summit, MO 64081-1104 | 2007-07-25 |
| 1023005592 | John Knox Village | Ambulance | 600 Nw Pryor Rd, Lees Summit, MO 64081-1104 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525672 | Julie Jackson | Pharmacist | 310 Nw Ward Rd, Lees Summit, MO 64081 | 2020-10-15 |
| 1932683836 | Rene Russell | Nurse Practitioner | 2416 Sw Wintergreen Ct, Lees Summit, MO 64081 | 2018-09-18 |
| 1720565179 | Yvonne Nuffer | Counselor | 304 Sw Persels Rd, Lees Summit, MO 64081 | 2018-07-27 |
| 1356845192 | Humble Hearts Counseling Services LLC | Clinic/Center | 1448 Sw Highland Drive, Lees Summit, MO 64081 | 2018-03-19 |
| 1679963649 | Molly Thompson | Occupational Therapy Assistant | 600 Sw Pryor, Lees Summit, MO 64081 | 2015-01-29 |
| 1639584790 | Kathryn Kincaide | Nurse Practitioner | 506 Nw Murray Road, Lee's Summit, MO 64081 | 2014-06-27 |
| 1154660678 | Jay Hatfield Mobility LLC | Durable Medical Equipment & Medical Supplies | 1115 Sw Oldham Parkway, Lee's Summit, MO 64081 | 2013-02-04 |
| 1285995688 | Catherine Anne Harris | Developmental Therapist | 226 Se Douglas, Suite 205, Lee's Summit, MO 64081 | 2012-06-01 |
| 1205113230 | Heartland Podiatry, P.C. | Podiatrist | 1161 Se Oldham Parkway, Lees Summit, MO 64081 | 2011-11-04 |
| 1740564723 | Melvin Turner Jr. | Pharmacist | 2501 Winteroak Cir, Kansas City, MO 64081 | 2011-10-07 |
| Find all providers in zip 64081 | ||||
| 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 |
|---|---|---|---|---|
| 1932444924 | Charles William Johnson | Family Medicine | 106 Ne Wood Glen Ln, Lees Summit, MO 64064-1508 | 2012-12-03 |
| 1174834360 | Craig Steven Ostrander | Family Medicine | 517 Se 2nd St Ste A, Lees Summit, MO 64063-2629 | 2010-06-23 |
| 1265605331 | Kelly Anne O'brien | Family Medicine | 600 Nw Murray Rd Ste 210, Lees Summit, MO 64081-1245 | 2008-04-09 |
| 1902099500 | Summit Skin Care Incorporated | Family Medicine | 3521 Ne Ralph Powell Rd Ste C, Lees Summit, MO 64064-2324 | 2007-08-27 |
| 1467583393 | Carl Spencer Davis | Family Medicine | 801 Ne Anderson Ln, Lees Summit, MO 64064-1244 | 2007-03-09 |
| 1013019579 | John William Klema IIi | Family Medicine | 4963 Ne Goodview Cir Ste B, Lees Summit, MO 64064-2491 | 2006-09-03 |
| 1619088879 | Ramon L Nichols | Family Medicine | 2741 Ne Mcbaine Dr, Lees Summit, MO 64064-7880 | 2006-08-31 |
| 1912015389 | Joy Eleanor Cuezze | Family Medicine | 3066 Grandstand Circle, Lees Summit, MO 64081 | 2006-08-27 |
| 1699718338 | Summit Medical Associates LLC | Family Medicine | 450 Ne M-291 Hwy, Lees Summit, MO 64086 | 2006-06-13 |
| 1871540658 | Family Health Specialist of Lee's Summit, LLC | Family Medicine | 2000 Se Blue Parkway, Suite 270 B, Lees Summit, MO 64063-4466 | 2006-05-27 |
| Find all providers in LEES SUMMIT | ||||
| City | LEES SUMMIT |
| Zip Code | 64081 |
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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.