CASEY S PROUGH (NPI# 1396723706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396723706 |
| Entity Type | Individual |
| Full Name | CASEY S PROUGH |
| Credential | MD |
| Practice Address |
4045 Ne Lakewood Way Suite 130 Lees Summit MO 64064-1799 |
| Practice Telephone | 8168862184 |
| Practice Fax Number | 8168862397 |
| Mailing Telephone | 8168862184 |
| Mailing Fax Number | 8168862397 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2014-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
2005016214 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1396723706 | 05 |
| Street Address |
4045 NE LAKEWOOD WAY SUITE 130 |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64064-1799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336355585 | Shubha Raja | Psychiatry & Neurology | 4045 Ne Lakewood Way, Suite 130, Lees Summit, MO 64064-1799 | 2007-05-15 |
| 1376757617 | M A Mirza, LLC | Psychologist | 4045 Ne Lakewood Way, Suite 130, Lees Summit, MO 64064-1799 | 2007-05-09 |
| 1710067822 | Mohammed Azher Mirza | Psychiatry & Neurology | 4045 Ne Lakewood Way, Ste 130, Lees Summit, MO 64064-1995 | 2006-10-16 |
| 1134235112 | Bruce Eugene Rosenbaum | Dentist | 4045 Ne Lakewood Way, Suite 150, Lees Summit, MO 64064-1703 | 2006-08-22 |
| 1871525162 | Marguerite Devonne French | Psychiatry & Neurology | 4045 Ne Lakewood Way, Suite 130, Lees Summit, MO 64064-1799 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647704 | James Andrew Kleoppel | Dentist | 3320 Ne Ralph Powell Rd., Lee's Summit, MO 64064 | 2020-07-30 |
| 1255991238 | Lee Summit Asc Kc LLC | Clinic/Center | 2861 Ne Independence Avenue, Suite 101, Lee's Summitt, MO 64064 | 2019-06-20 |
| 1073014676 | Sonya Renee Aversman | Dietitian, Registered | 3680 Ne Akin Dr, Suite 134, Lee's Summit, MO 64064 | 2018-02-28 |
| 1407398365 | Lakewood Chiropractic, P.C. | Chiropractor | 731 Ne Lakewood Boulevard, Lee's Summit, MO 64064 | 2016-11-09 |
| 1417403015 | Mikaela Groff | Dietitian, Registered | 401 Ne Grant Ct, Lee's Summit, MO 64064 | 2016-09-01 |
| 1952756405 | Sarah C. Vignery | Speech-Language Pathologist | 3600 Ne Ralph Powell Rd. Suite E, Lee's Summit, MO 64064 | 2016-05-03 |
| 1790146058 | Aneliya H Hristova | Physician Assistant | 3601 Ne Ralph Powell Road., Lee's Summit, MO 64064 | 2016-03-15 |
| 1821469982 | Alysse Barrett Doane | Nurse Practitioner | 2714 Ne Mcbaine Drive, Lees Summit, MO 64064 | 2015-10-15 |
| 1346638814 | Donna Thomas Dds, PC | Dentist | 3359 Ne Ralph Powell Rd, Lee's Summit, MO 64064 | 2015-01-06 |
| 1437579208 | Gregory Lohr | Dentist | 2931 Ne Independence Ave, Lees Summit, MO 64064 | 2014-04-21 |
| Find all providers in zip 64064 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831278647 | Maria Elena Otayza-navato | Psychiatry & Neurology | 300 Se 2nd St Ste 201, Lees Summit, MO 64063-2759 | 2006-11-03 |
| 1891872503 | Kcrcmd Inc | Psychiatry & Neurology | 254 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2006-11-01 |
| 1295706430 | Michael E Williams | Psychiatry & Neurology | 4045 Ne Lakewood Way Ste 130, Lees Summit, MO 64064 | 2006-01-27 |
| 1386614949 | James Fleming | Psychiatry & Neurology | 618 Se 4th St, Lees Summit, MO 64063-2908 | 2006-01-25 |
| 1316244742 | Amanda Sells | Psychiatry & Neurology | 1515 Ne Rice Rd, Lees Summit, MO 64086-5849 | 2011-02-21 |
| 1285809673 | Nicole Renee Graham | Psychiatry & Neurology | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2008-04-25 |
| 1033256961 | Sreekumar Nair Md LLC | Psychiatry & Neurology | 4031 Ne Lakewood Way, Ste 100, Lees Summit, MO 64064 | 2007-01-31 |
| 1710067822 | Mohammed Azher Mirza | Psychiatry & Neurology | 4045 Ne Lakewood Way, Ste 130, Lees Summit, MO 64064-1995 | 2006-10-16 |
| 1821193228 | John A Francis | Psychiatry & Neurology | 600 Nw Murray Rd, Ste 204, Lees Summit, MO 64081 | 2006-09-13 |
| 1376652149 | Krishna Manej Divadeenam | Psychiatry & Neurology | 200 Ne Missouri Rd, Suite 302, Lees Summit, MO 64086-4722 | 2006-08-29 |
| Find all providers in LEES SUMMIT | ||||
| City | LEES SUMMIT |
| Zip Code | 64064 |
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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.