PETER K MYGDAL (NPI# 1417049487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417049487 |
| Entity Type | Individual |
| Full Name | PETER K MYGDAL |
| Credential | M.D. |
| Practice Address |
3901 Rainbow Blvd Mail Stop 4032 Kansas City KS 66160 |
| Mailing Address |
3901 Rainbow Blvd 4070 Delp Mail Stop 4017 Kansas City KS 66160 |
| Practice Telephone | 9135886800 |
| Practice Fax Number | 9135887899 |
| Mailing Telephone | 9135886800 |
| Mailing Fax Number | 9135887899 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
04-29656 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 207267204 | 05 | |
| MO | BCBS KANSAS CITY | 35363019 | 01 |
| KS | FIRSTGUARD | 509440 | 01 |
| KS | 200258250B | 05 |
| Street Address |
3901 RAINBOW BLVD MAIL STOP 4032 |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567384 | Larry Donald Cordell | Orthopaedic Surgery | 3901 Rainbow Blvd, Ms 3017, Kansas City, KS 66160 | 2005-06-09 |
| 1386243368 | University of Kansas Hospital Authority | Clinic/Center | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-10-21 |
| 1043825532 | Manan Karki | Anesthesiology | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-09-10 |
| 1245843887 | May Alorainy | Internal Medicine | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-08-24 |
| 1205447158 | Akshaya Prabhakaran Sduha | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-08-13 |
| 1205446622 | Syed Muhammad Abbas Hussain | Psychiatry & Neurology | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-08-01 |
| 1265059505 | Bradley Michael Coomes | Nurse Anesthetist, Certified Registered | 3901 Rainbow Blvd, Department of Anesthesiology 2037 Delp, Kansas City, KS 66160 | 2020-07-02 |
| 1063039519 | Cassie Lynn Joly | Nurse Practitioner | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-07-01 |
| 1225654478 | Frederico Augusto Duarte Villa-chan Filho | Internal Medicine | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-06-24 |
| 1881219954 | Anand Dharia | Neurological Surgery | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541594 | Julian Diaz Abele | Plastic Surgery | 40000 Cambridge St. Sutherland Institute, Ms3015, Kansas City, KS 66160 | 2020-09-03 |
| 1831650670 | Autumn Brubaker | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd Ste Ms 2027, Kansas City, KS 66160 | 2019-03-26 |
| 1851886949 | Adam Kahle | Surgery | 4000 Cambridge, Department of Surgery, M/s 2005, Kansas City, KS 66160 | 2018-06-29 |
| 1871086876 | Mirna Asham | Student in an Organized Health Care Education/Training Program | Medical Office Building, 2000 Olathe Blvd, Kansas City, KS 66160 | 2018-06-13 |
| 1811491012 | Daniel Martin Kolm | Emergency Medicine | 2106 Olathe Blvd Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1417451642 | Heather Schopper | Otolaryngology | 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1508360207 | Rachel Guest | Student in an Organized Health Care Education/Training Program | Kansas University Medical Center 4000 Cambridge St, Kansas City, KS 66160 | 2018-03-19 |
| 1891218541 | Elizabeth Swarna Mukherjee | Family Medicine | 2000 Olathe Blvd, Kansas City, KS 66160 | 2017-07-24 |
| 1609304112 | Zihan Masood | Neurological Surgery | The University of Kansas Medical Center, 3901 Rainbow Blvd, Ms 3021, Kansas City, KS 66160 | 2017-05-28 |
| 1144752601 | Lindsay Marie Baldridge | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd. M/s 4004, University of Kansas Pediatrics Residency, Kansas City, KS 66160 | 2017-04-03 |
| Find all providers in zip 66160 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013534049 | Innovative Medical Solutions, Inc. | Radiology | 4218 Roanoke Rd Ste 304, Kansas City, MO 64111-4996 | 2020-06-25 |
| 1255780029 | John Burns | Radiology | 3901 Rainbow Blvd Dept of Radiology, Kansas City, KS 66160-8500 | 2016-06-12 |
| 1184042525 | Anatoly Loskutov | Radiology | 4338 Rockhill Rd, Kansas City, MO 64110-1543 | 2014-04-02 |
| 1194087890 | Joseph Scott Donald II | Radiology | Kumc Radiology, 3901 Raindbow Blvd Ms 4032, Kansas City, KS 66160-0001 | 2012-06-09 |
| 1649563024 | Kelsey Anne Flynt | Radiology | 5820 Nw Barry Rd Ste 100, Kansas City, MO 64154-2578 | 2011-05-18 |
| 1851699854 | Manuel J Blando | Radiology | 415 Nw 65th St, Kansas City, MO 64118-3850 | 2011-03-01 |
| 1790003622 | Julieann Stover | Radiology | 4321 Washington St Ste 1000, Kansas City, MO 64111-5962 | 2010-05-17 |
| 1962729319 | Missouri Telerad LLC | Radiology | 816 Huntington Rd, Kansas City, MO 64113-1344 | 2010-04-26 |
| 1588894315 | Shaun Robert Best | Radiology | 3901 Rainbow Blvd Ms 4032, Kansas City, KS 66160-0001 | 2009-07-14 |
| 1326249160 | Nathan Aliyah Saucier | Radiology | 1229 W 67th St, 2nd Floor, Kansas City, MO 64113-1901 | 2007-05-30 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66160 |
Please comment or provide details below to improve the information on PETER K MYGDAL.
| 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.