GLENN MACKAY (NPI# 1356457006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356457006 |
| Entity Type | Individual |
| Full Name | GLENN MACKAY |
| Credential | MD |
| Practice Address |
5701 State Ave Ste 100 Kansas City KS 66102-1281 |
| Practice Telephone | 9132877800 |
| Practice Fax Number | 9132871112 |
| Mailing Telephone | 9132877800 |
| Mailing Fax Number | 9132871112 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2012-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
0427706 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100391820B | 05 | |
| KS | 100391820C | 05 |
| Street Address |
5701 STATE AVE STE 100 |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66102-1281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891801692 | Pratip Patel | Internal Medicine | 5701 State Ave Ste 100, Kansas City, KS 66102-1281 | 2006-08-22 |
| 1043326887 | Vinaya Koduri | Internal Medicine | 5701 State Ave Ste 100, Kansas City, KS 66102-1281 | 2006-08-22 |
| 1164538989 | Ahmed Baig | Family Medicine | 5701 State Ave Ste 100, Kansas City, KS 66102-1281 | 2006-08-22 |
| 1861508616 | Daryoush Jahanian | Obstetrics & Gynecology | 5701 State Ave Ste 100, Kansas City, KS 66102-1281 | 2006-08-22 |
| 1427164128 | Janice Needham-gagne | Nurse Practitioner | 5701 State Ave Ste 100, Kansas City, KS 66102-1281 | 2006-08-22 |
| 1407962236 | Michael Harwood | Internal Medicine | 5701 State Ave Ste 100, Kansas City, KS 66102-1281 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083221303 | Thrive Restorative Services | Social Worker | 1911 North 62nd Street, Kansas City, KS 66102 | 2020-09-30 |
| 1962904680 | Robyn Smith | Nurse's Aide | 1711 N 58th Street, Kansas City, KS 66102 | 2018-03-08 |
| 1427564756 | Kimberly Lartey Hardeman | Midwife, Lay | 4705 Nebraska Avenue, Kansas City, KS 66102 | 2017-12-22 |
| 1396116117 | 47th Street Dental Center, LLC | Dentist | 4301 State Ave Bldg A, Kansas City, KS 66102 | 2015-10-20 |
| 1336550763 | Carlie Thomas | Case Manager/Care Coordinator | 417 North 17th Street, Kansas City, KS 66102 | 2014-05-20 |
| 1053619932 | Karla Christine Wright | Speech-Language Pathologist | 4911 State Ave/, Kansas City, KS 66102 | 2011-03-02 |
| 1679734263 | Total Renal Care Inc | Clinic/Center | 5001 State Ave, Kansas City, KS 66102 | 2008-06-17 |
| 1255513040 | Maureen Liddiard | Social Worker | 1223 Meadowlark Lane, Kansas City, KS 66102 | 2007-12-04 |
| 1841499175 | Lori Ann Erwin | Counselor | 1333 Meadowlark Lane, Suite 205 Tfi Family Services Behavioral Health, Kansas City, KS 66102 | 2007-07-17 |
| 1669679023 | Lynn Alan Barrett | Marriage & Family Therapist | 1301 N. 47th, Kansas City, KS 66102 | 2007-06-29 |
| Find all providers in zip 66102 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598242778 | Metro Infectious Disease Consultants, LLC | Internal Medicine | 2340 E Meyer Blvd Ste 348, Kansas City, MO 64132-1129 | 2018-07-20 |
| 1629523287 | Raed Jabr | Internal Medicine | 3952 Adams St Apt 12, Kansas City, KS 66103-2958 | 2016-08-23 |
| 1306188784 | Rachel T Weihe | Internal Medicine | 200 Ne 54th Street, Suite 111, Kansas City, MO 64118 | 2013-03-22 |
| 1528164217 | Mid America Infectious Disease Consultants PC | Internal Medicine | 3215 Main St Ste 100b, Kansas City, MO 64111-1946 | 2006-09-16 |
| 1356451603 | Sarah E. Boyd | Internal Medicine | 5844 Nw Barry Rd Ste 300, Kansas City, MO 64154-1483 | 2006-08-30 |
| 1225092372 | John Clayton Verstraete | Internal Medicine | 3215 Main St, Ste 100b, Kansas City, MO 64111-2645 | 2006-04-14 |
| 1366405078 | David S. Mckinsey | Internal Medicine | 2340 E Meyer Blvd Bldg 2, Suite 348, Kansas City, MO 64132-1105 | 2006-04-11 |
| 1659354736 | Fernando Merino | Internal Medicine | 3901 Rainbow Boulevard, 6067 Delp, Mail Stop 1028, Kansas City, KS 66160 | 2005-11-22 |
| 1043664675 | Rinda Mousa | Internal Medicine | 3901 Rainbow Boulevard, 6070 Delp Ms 1028, Kansas City, KS 66160 | 2016-04-20 |
| 1003298811 | Lucas Vocelka | Internal Medicine | 2340 E Meyer Blvd, Bldg 2, Suite 392, Kansas City, MO 64132-6413 | 2015-06-29 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66102 |
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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.