THE SLEEP LAB AT MENORAH MEDICAL CENTER, LLC (NPI# 1447353453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447353453 |
| Entity Type | Organization |
| Organization Name | THE SLEEP LAB AT MENORAH MEDICAL CENTER, LLC |
| Practice Address |
5721 W 119th St Overland Park KS 66209-3722 |
| Practice Telephone | 9134986770 |
| Practice Fax Number | 9134987106 |
| Mailing Telephone | 9134986770 |
| Mailing Fax Number | 9134987106 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |
| 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 | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| 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 | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255767141 | Sleepmed, Inc. | Clinic/Center | 10590 Barkley St Ste 200, Overland Park, KS 66212-1811 | 2013-09-24 |
| 1922060573 | Breathe, LLC | Clinic/Center | 7171 W 95th St, Suite 320, Overland Park, KS 66212-2283 | 2006-04-06 |
| 1982601506 | Somnitech Inc | Clinic/Center | 10590 Barkley St, Overland Park, KS 66212-1811 | 2005-06-29 |
| 1578569414 | Sleep Disorders Institute Midwest LLC | Clinic/Center | 11881 W 112th St, Ste 101, Overland Park, KS 66210 | 2005-06-24 |
| 1316262736 | Total Sleep Diagnostics, Inc. | Clinic/Center | 12850 Metcalf Ave, Ste 210, Overland Park, KS 66213-2622 | 2010-03-29 |
| 1821267824 | Pacific Sleep Medicine A Medical Corp | Clinic/Center | 10590 Barkley St, Overland Park, KS 66212-1811 | 2008-02-22 |
| 1528250941 | College Park Family Care Center, P.a. | Clinic/Center | 10590 Barkley St, Overland Park, KS 66212-1811 | 2007-08-10 |
| 1538372677 | Digitrace Care Services, Inc. | Clinic/Center | 6700 W 115th St, Overland Park, KS 66211-1553 | 2007-05-07 |
| 1568464170 | Sleep Disorders Institute Midwest LLC | Clinic/Center | 11881 W 112th St, Overland Park, KS 66210 | 2005-08-12 |
| 1316949324 | Sleep Disorders Institute Northeast | Clinic/Center | 11881 W 112th St, Overland Park, KS 66210-2717 | 2005-08-10 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66209 |
Please comment or provide details below to improve the information on THE SLEEP LAB AT MENORAH MEDICAL CENTER, 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.