DR. ROBERT E TANENBAUM (NPI# 1619976883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619976883 |
| Entity Type | Individual |
| Full Name | DR. ROBERT E TANENBAUM |
| Credential | MD |
| Practice Address |
4330 Wornall Rd Ste 2000 Kansas City MO 64111-5939 |
| Mailing Address |
901 E 104th St Mailstop 400s Kansas City MO 64131 |
| Practice Telephone | 8169311883 |
| Mailing Telephone | 8165999261 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
108594 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9119 W 74th St, Suite 350, Shawnee Mission, KS 662042215 | 9137893290 | 9137893208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568681278 | Robert Tanenbaum | Psychologist | 1 Presidential Blvd, Suite 204, Bala Cynwyd, PA 19004-1017 | 2007-04-24 |
| Street Address |
4330 WORNALL RD STE 2000 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-5939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356987820 | Jamie D Parks | Nurse Practitioner | 4330 Wornall Rd Ste 2000, Kansas City, MO 64111-5939 | 2019-11-20 |
| 1467095174 | Tamar Ibanez | Nurse Practitioner | 4330 Wornall Rd Ste 2000, Kansas City, MO 64111-5939 | 2019-10-25 |
| 1578110847 | Stacey Elizabeth Shanks | Nurse Practitioner | 4330 Wornall Rd Ste 2000, Kansas City, MO 64111-5939 | 2019-08-21 |
| 1346894854 | Heather M Lembke | Nurse Practitioner | 4330 Wornall Rd Ste 2000, Kansas City, MO 64111-5939 | 2019-08-01 |
| 1396399960 | Kelsea R White | Registered Nurse | 4330 Wornall Rd Ste 2000, Kansas City, MO 64111-5939 | 2019-07-31 |
| 1922667963 | Jordan K Nulton | Nurse Practitioner | 4330 Wornall Rd Ste 2000, Kansas City, MO 64111-5939 | 2019-06-12 |
| 1356905384 | Katherine Grace Miller | Nurse Practitioner | 4330 Wornall Rd Ste 2000, Kansas City, MO 64111-5939 | 2019-04-25 |
| 1760912687 | Kasey Dawn Dunn | Nurse Practitioner | 4330 Wornall Rd Ste 2000, Kansas City, MO 64111-5939 | 2017-06-13 |
| 1104366376 | Lisabet Kennedy | Nurse Practitioner | 4330 Wornall Rd Ste 2000, Kansas City, MO 64111 | 2017-03-07 |
| 1215277363 | Erin Broxterman | Physician Assistant | 4330 Wornall Rd Ste 2000, Kansas City, MO 64111-5939 | 2013-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1083010458 | Mancina Cardiovascular Medicine | Internal Medicine | 1601 Washington Blvd, Kansas City, KS 66102-2841 | 2014-11-13 |
| 1528407822 | Justin Patrick Sheehy | Internal Medicine | 4401 Wornall Rd Fl 9, Kansas City, MO 64111-3220 | 2013-06-19 |
| 1952643520 | Meritas Health Corporation | Internal Medicine | 5501 Nw 62nd Ter Ste 201, Kansas City, MO 64151-2408 | 2013-03-21 |
| 1376839894 | Chetan P Huded | Internal Medicine | 5844 Nw Barry Rd Ste 230, Kansas City, MO 64154-1421 | 2011-06-22 |
| 1689835084 | Bangalore V Deepak | Internal Medicine | 6420 Prospect Ave Ste T101, Kansas City, MO 64132 | 2008-06-19 |
| 1144499096 | Dennis Robert Bresnahan Jr. | Internal Medicine | 2000 Baltimore Avenue, Suite 400, Kansas City, MO 64108-1943 | 2008-02-25 |
| 1932300217 | Joseph Goldstrich | Internal Medicine | 333 W 46th Ter, Apt 209, Kansas City, MO 64112-1545 | 2007-05-31 |
| 1356454912 | Thomas L Rosamond | Internal Medicine | 4000 Cambrodge Street Ste G600, Kansas City, KS 66160-8501 | 2006-08-17 |
| 1164434577 | Steven D Owens | Internal Medicine | 4000 Cambridge St # G600, Kansas City, KS 66160-8501 | 2006-08-13 |
| 1245241017 | Marina N Hannen | Internal Medicine | 4000 Cambridge St Ste 600, Kansas City, KS 66160-8500 | 2006-08-10 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
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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.