LAKE MI MOBILE DOCTORS P.C. (NPI# 1710279666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710279666 |
| Entity Type | Organization |
| Organization Name | LAKE MI MOBILE DOCTORS P.C. |
| Other Organization Name | MOBILE DOCTORS OF KANSAS CITY |
| Practice Address |
6501 E Commerce Ave Suite 170 Kansas City MO 64120-2171 |
| Mailing Address |
3319 N. Elston Ave Suite 200 Chicago IL 60618-5811 |
| Practice Telephone | 8169940073 |
| Practice Fax Number | 8169940084 |
| Mailing Telephone | 7737517200 |
| Mailing Fax Number | 7735834401 |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2012-10-15 |
| Authorized Official Name | MR. TYSYN CONTRERAS (DIRECTOR OF QUALITY ASSURANCE) |
| Authorized Official Telephone | 3129395090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mobile Doctors of Kansas City | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982962924 | Lake Mi Mobile Doctors P.C. | Podiatrist | 6448 E Highway 290, Suite E-103, Austin, TX 78723-1068 | 2012-04-27 |
| Street Address |
6501 E COMMERCE AVE SUITE 170 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64120-2171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700991353 | Daryl L Thomas | Preventive Medicine | 6501 E Commerce Ave, Suite 110, Kansas City, MO 64120-2171 | 2006-08-21 |
| 1053861690 | U.S. Healthworks Medical Group of Kansas City, Pa | Clinic/Center | 6501 E Commerce Ave, Suite 110, Kansas City, MO 64120-2171 | 2016-10-06 |
| 1316385123 | Laurie Gail Carson | Physical Therapist | 6501 E Commerce Ave, 120, Kansas City, MO 64120-2171 | 2013-06-13 |
| 1407113517 | Mobile Ultrasound LLC | Spec/Tech, Cardiovascular | 6501 E Commerce Ave, Suite 170a, Kansas City, MO 64120-2171 | 2012-04-13 |
| 1649368275 | Leigh J Marvin | Family Medicine | 6501 E Commerce Ave, Suite 110, Kansas City, MO 64120-2171 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073762159 | Concentra Health Services, Inc. | Clinic/Center | 6401 Front Street, Kansas City, MO 64120 | 2008-09-15 |
| 1740210111 | Dale Eugene Smith | Pharmacist | 1575 N. Universal Ave, Suite 100, Kansas City, MO 64120 | 2006-07-03 |
| 1245540749 | Christy M Cruz | Physical Therapist | 6401 Front Street, Kansas City, MO 64120 | 2010-10-18 |
| 1740324227 | Kansas City Occupational Healthcare | Specialist | 6120 E Connecticut Ave, Kansas City, MO 64120-1345 | 2007-02-16 |
| 1790968923 | American Current Care Pa | Clinic/Center | 6401 East Front Street, Kansas City, MO 64120-1356 | 2007-12-11 |
| 1003946096 | Occupational Health Centers of Kansas Pa | Clinic/Center | 6401 E Front St, Kansas City, MO 64120-1356 | 2007-03-07 |
| 1295131324 | American Current Care of Kansas Pa | Clinic/Center | 6401 E Front St, Kansas City, MO 64120-1356 | 2014-11-18 |
| 1861898553 | Occupational Health Centers of Kansas Pa | Clinic/Center | 6401 E Front St, Kansas City, MO 64120-1356 | 2014-11-07 |
| 1225434921 | Us Medgroup of Kansas Pa | Clinic/Center | 6401 E Front St, Kansas City, MO 64120-1356 | 2014-11-07 |
| 1215114509 | Bipinchandra Avashia | Preventive Medicine | 6401 E Front St, Kansas City, MO 64120-1356 | 2008-01-29 |
| Find all providers in zip 64120 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1154577799 | Stanley Sharp Md Lc | Internal Medicine | 1310 Carondelet Dr Ste 230, Kansas City, MO 64114-4853 | 2008-08-14 |
| 1720009277 | Ahmad Batrash | Internal Medicine | Vamc 4801 E. Linwood, Medical Subspecialty Service (111), Kansas City, MO 64128 | 2006-07-21 |
| 1962409599 | Kevin Eugene Farrell | Internal Medicine | 3014 Oak St, Kansas City, MO 64108-3240 | 2005-06-28 |
| 1336461276 | Saint Luke's Physician Partners, Inc. | Internal Medicine | 4440 Broadway St, Kansas City, MO 64111-3315 | 2010-02-19 |
| 1326360546 | Saint Luke's Physician Partners, Inc. | Internal Medicine | 4330 Wornall Rd, Suite 40, Kansas City, MO 64111-3201 | 2010-02-16 |
| 1619105467 | Rachel Beth Mason | Internal Medicine | 3901 Rainbow Blvd, 6040 Delp, Ms 1020, Division of General and Geriatric Medicine, Kansas City, KS 66160-0001 | 2009-06-30 |
| 1912127697 | Jessica L Kalender-rich | Internal Medicine | Ku Medical Center Div of General &, 3901 Rainbow Blvd, Ms 1020, Kansas City, KS 66160-0001 | 2007-04-26 |
| 1851447049 | Mana Hobson | Internal Medicine | 7900 Lees Summit Rd, Tmc Lakewood, Kansas City, MO 64139-1236 | 2007-01-28 |
| 1336201896 | Deon Cox Hayley | Internal Medicine | 3901 Rainbow Blvd, 6040 Delp, Ms 1020, Kansas University Physicians Inc, Kansas City, KS 66160 | 2006-12-14 |
| 1013093277 | Plaza Primary Care and Geriatrics | Internal Medicine | 4440 Broadway, Kansas City, MO 64111-3315 | 2006-10-31 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64120 |
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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.