JAMIE LYN MERTZ (NPI# 1568702090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568702090 |
| Entity Type | Individual |
| Full Name | JAMIE LYN MERTZ |
| Other Name | JAMIE LYN ALLGOOD |
| Credential | PA-C |
| Practice Address |
9423 N Wayne Ct Kansas City MO 64155-2999 |
| Practice Telephone | 8167789027 |
| Mailing Telephone | 8167789027 |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2015-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
15-01603 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9423 N WAYNE CT |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64155-2999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104475383 | Margaret A Shetley | Technician | 9023 Nw Anglia Rd, Kansas City, MO 64155 | 2019-09-10 |
| 1477031540 | Abby Pearson | Massage Therapist | 190 Ne 90th Street, Suite 16, Kansas City, MO 64155 | 2018-08-01 |
| 1619408291 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1600 Nw 88th St, Kansas City, MO 64155 | 2017-03-24 |
| 1013322262 | Ryan Bland | Dentist | 9241 North Oak Trafficway, Kansas City, MO 64155 | 2014-06-26 |
| 1134540289 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 10210 N. Oak Trafficway, Suite 100-300, Kansas City, MO 64155 | 2013-12-16 |
| 1366875718 | Staley Dental Arts, LLC | Dentist | 506 Ne 107th Street, Kansas City, MO 64155 | 2013-08-20 |
| 1902137433 | Gary D Cooper | Internal Medicine | 1501 Ne 98th St, Kansas City, MO 64155 | 2010-01-22 |
| 1780845305 | Heather Jean Malone | Pediatrics | 8781 N. Platte Purchase Drive, Kansas City, MO 64155 | 2008-06-17 |
| 1639390370 | John Michael Dicapo | Physical Therapist | 1110 Ne 85 Ct, Kansas City, MO 64155 | 2007-05-01 |
| 1467502021 | Laurie D Riddell | Pediatrics | 8781 N Platte Purchase Dr, Kansas City, MO 64155 | 2007-01-12 |
| Find all providers in zip 64155 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1245586536 | Jeb Medical LLC | Physician Assistant | 1215 Clay St, Kansas City, MO 64116-4026 | 2012-07-24 |
| 1477556215 | Paul W Jenkins Jr. | Physician Assistant | 4320 Wornall Rd, Ste 50-ii, Kansas City, MO 64111-5941 | 2005-05-24 |
| 1740710854 | Laura Swaters | Physician Assistant | 5844 Nw Barry Rd Ste 120, Kansas City, MO 64154-1483 | 2017-06-13 |
| 1417315839 | Marci Cunningham | Physician Assistant | 4320 Wornall Rd Ste 530, Kansas City, MO 64111-5942 | 2016-01-30 |
| 1629493556 | Amy E Newbold | Physician Assistant | 4320 Wornall Rd Ste 50-ii, Kansas City, MO 64111-5941 | 2014-03-01 |
| 1740511138 | Sara Lindsey Clausen | Physician Assistant | 3901 Rainbow Blvd, Kansas City, KS 66103-2937 | 2010-01-25 |
| 1629304761 | Melissa Rene' Caldino | Physician Assistant | 3901 Rainbow Blvd, Ct Surgery Dept, Kansas City, KS 66160-8500 | 2009-10-25 |
| 1609078195 | Margaret Haefele Tuttle | Physician Assistant | 3901 Rainbow Blvd, Mail Stop 3015, Kansas City, KS 66160-8500 | 2007-06-05 |
| 1912032459 | Pamela Grace Melo | Physician Assistant | 3901 Rainbow Blvd, Kansas City, KS 66160-0001 | 2007-02-23 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64155 |
Please comment or provide details below to improve the information on JAMIE LYN MERTZ.
| 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.