SIDDHARTHA GANGULY (NPI# 1689767261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689767261 |
| Entity Type | Individual |
| Full Name | SIDDHARTHA GANGULY |
| Credential | M.D. |
| Practice Address |
2330 Shawnee Mission Pkwy Suite 210 Westwood KS 66205-2005 |
| Practice Telephone | 9135886030 |
| Practice Fax Number | 9135883996 |
| Mailing Telephone | 9135886030 |
| Mailing Fax Number | 9135883996 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2015-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
25693 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100450610A | 05 | |
| KS | FIRSTGUARD | 405970 | 01 |
| MO | BCBS KC | 32125027 | 01 |
| MO | 208433904 | 05 |
| Street Address |
2330 SHAWNEE MISSION PKWY SUITE 210 |
| City | WESTWOOD |
| State | KS |
| Zip Code | 66205-2005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992798839 | Raed Moh'd Taiseer Alrajabi | Internal Medicine | 2330 Shawnee Mission Pkwy, Westwood, KS 66205-2005 | 2005-08-25 |
| 1477104453 | Madison Kathleen Jensen | Nurse Practitioner | 2330 Shawnee Mission Pkwy, Westwood, KS 66205-2005 | 2019-09-22 |
| 1114481199 | Margaret Anne Foss | Nurse Practitioner | 2330 Shawnee Mission Pkwy, Westwood, KS 66205-2005 | 2019-01-24 |
| 1619451895 | Jenny Kathleen Quinn | Nurse Practitioner | 2330 Shawnee Mission Pkwy, Westwood, KS 66205-2005 | 2018-09-24 |
| 1730687013 | Emily Barnett-doyle | Nurse Practitioner | 2330 Shawnee Mission Pkwy, Westwood, KS 66205-2005 | 2018-02-01 |
| 1932618857 | Meera Mitchelle Clytone | Genetic Counselor, MS | 2330 Shawnee Mission Pkwy, Westwood, KS 66205-2005 | 2017-09-22 |
| 1083162903 | Fletcher Schubert | Nurse Practitioner | 2330 Shawnee Mission Pkwy, Mailstop 5018, Westwood, KS 66205-2005 | 2016-09-20 |
| 1952752552 | Morgan Walker | Physician Assistant | 2330 Shawnee Mission Pkwy, Westwood, KS 66205-2005 | 2016-06-24 |
| 1922468727 | Christine N Smith | Nurse Practitioner | 2330 Shawnee Mission Pkwy, Suite 208, Mailstop 5018, Westwood, KS 66205-2005 | 2016-03-07 |
| 1760854004 | Emily Margaret Connor | Nurse Practitioner | 2330 Shawnee Mission Pkwy, Westwood, KS 66205-2005 | 2015-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578178521 | Shawnee Mission Medical Center, Inc. | Clinic/Center | 5675 Roe Blvd, Roeland Park, KS 66205 | 2020-09-15 |
| 1609352624 | Jennifer Leigh Sturgeon | Nurse Practitioner | 2650 Shawnee Mission Pkwy Ste 2201, Westwood, KS 66205 | 2018-07-12 |
| 1720500382 | Andrew James Holzschuh | Pharmacist | 4206 W 54th St, Roeland Park, KS 66205 | 2017-07-14 |
| 1700307857 | Kc Family Dental, LLC | Clinic/Center | 4034 Shawnee Mission Parkway, Fairway, KS 66205 | 2017-06-29 |
| 1740719004 | Smile, It's Healthy L.L.C. | Dentist | 4400 Shawnee Mission Parkway, Suite 208, Fairway, KS 66205 | 2017-06-08 |
| 1821448630 | Heather Hoelscher | Registered Nurse | 4919 W 58th St, Roeland Park, KS 66205 | 2016-06-13 |
| 1487995080 | Courtney Calder | Pharmacist | 2724 W. 53rd St., Hen House, Fairway, KS 66205 | 2013-03-06 |
| 1760732267 | Catherine Wilson Mapes | Social Worker | 2717 West 50th Street, Westwood, KS 66205 | 2012-09-12 |
| 1477819217 | David Scoville | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5328 Canterbury Rd, Fairway, KS 66205 | 2012-04-05 |
| 1053560870 | Isabel Diana Luna Camden | Counselor | 5450 Buena Vista St, Roeland Park, KS 66205 | 2008-09-17 |
| Find all providers in zip 66205 | ||||
| Taxonomy Code | 207RH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology |
| An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1326286758 | Eugene Smith | Internal Medicine | 270 Old Hook Rd, Westwood, NJ 07675-3117 | 2009-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639171580 | David L Lee | Internal Medicine | 15123 S Omc Pkwy, Olathe, KS 66061-7251 | 2005-08-11 |
| 1033508304 | Aung Tun | Internal Medicine | 3901 Rainbow Blvd, Kansas City, KS 66160-0001 | 2015-01-09 |
| 1639266489 | David C Bodensteiner | Internal Medicine | 3901 Rainbow Blvd, Dept of Internal Medicine, Kansas City, KS 66160 | 2006-10-05 |
| 1902992647 | Barry S Skikne | Internal Medicine | 3901 Rainbow Blvd, Dept of Internal Medicine, Kansas City, KS 66160 | 2006-10-04 |
| 1912916818 | Edwin L Petrik | Internal Medicine | 1414 Sw 8th Ave, Topeka, KS 66606-1535 | 2006-08-07 |
| 1003864471 | Kansas City Cancer Center, LLC | Internal Medicine | 12200 W 110th St, Overland Park, KS 66210-4045 | 2006-05-05 |
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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.