MEHBOOB I VORA DO LLC (NPI# 1710944145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710944145 |
| Entity Type | Organization |
| Organization Name | MEHBOOB I VORA DO LLC |
| Practice Address |
1755 E 61st St N Park City KS 67219-1917 |
| Practice Telephone | 3167447405 |
| Practice Fax Number | 3167447756 |
| Mailing Telephone | 3167447405 |
| Mailing Fax Number | 3167447756 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MEHBOOB I VORA (OWNER) |
| Authorized Official Telephone | 3167447405 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 05-25872 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS GROUP NUMBER | 110871 | 01 |
| Street Address |
1755 E 61ST ST N |
| City | PARK CITY |
| State | KS |
| Zip Code | 67219-1917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963288 | Advanced Pt, LLC | Occupational Therapist | 1755 E 61st St N, Park City, KS 67219-1917 | 2019-10-10 |
| 1003476904 | Kristi D Unruh | Nurse Practitioner | 1755 E 61st St N, Park City, KS 67219-1917 | 2019-06-13 |
| 1174573752 | Newton Healthcare Corporation | Clinic/Center | 1755 E 61st St N, Park City, KS 67219-1917 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710478672 | Faith Obiero | Nurse Practitioner | 425 E 61st St N Ste 2, Park City, KS 67219 | 2018-05-25 |
| 1790883734 | Wendy D Reynolds | Dentist | 410 E. 61st St. N., Wichita, KS 67219 | 2006-09-21 |
| 1235237272 | Wendy D. Reynolds, D.d.s. | Dentist | 410 E. 61st St. N., Wichita, KS 67219 | 2006-09-21 |
| 1760592000 | Leekers Valley Center Inc | Pharmacy | 6223 N Broadway, Leekers Family Pharmacy, Wichita, KS 67219-1194 | 2006-08-30 |
| 1093320475 | Sandra Lynn Massey | Preventive Medicine | 6652 N Scottsville St, Park City, KS 67219-1525 | 2020-09-11 |
| 1518359678 | Shaundrieka Quatice Townes | Social Worker | 6515 N Wendell St, Park City, KS 67219-1742 | 2015-02-26 |
| 1538685326 | Uraina Storey | Registered Nurse | 6515 N Wendell St, Park City, KS 67219-1742 | 2017-08-14 |
| 1790300499 | Able Care Mobile Therapy LLC | Occupational Therapist | 2546 E Ventnor St, Park City, KS 67219-1751 | 2020-06-09 |
| 1821577693 | Truespeak LLC | Speech-Language Pathologist | 6644 N Poston St, Park City, KS 67219-1767 | 2018-08-12 |
| 1285100388 | Sean Hess | Speech-Language Pathologist | 6644 N Poston St, Park City, KS 67219-1767 | 2018-10-17 |
| Find all providers in zip 67219 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831454446 | Ihc Health Services Inc | Family Medicine | 3850 Canyons Resort Dr, Park City, UT 84098-6546 | 2012-07-10 |
| 1053529255 | Kenneth Alan Wolkoff | Family Medicine | 3065 Fawn Dr, Park City, UT 84098-5368 | 2007-05-19 |
| 1780772624 | Joseph H Berman | Family Medicine | 1743 West Redstone Center Ste 115, Park City, UT 84098-7600 | 2006-10-10 |
| 1396777876 | Ian Bruce Hassin | Family Medicine | 3220 Daybreaker Dr, Park City, UT 84098-5838 | 2006-07-07 |
| 1821067653 | James Gregory Kahrs | Family Medicine | 1755 E. 61st St. N, Park City, KS 67219-1917 | 2006-03-15 |
| 1265439236 | Stefani Jane Day | Family Medicine | 1665 Bonanza Dr, Park City, UT 84060-5127 | 2005-07-05 |
| 1669867040 | Mary Weaver Veghte | Family Medicine | 750 Round Valley Dr, Park City, UT 84060-7548 | 2015-04-01 |
| 1053715763 | University of Utah Community Physicians Group | Family Medicine | 1743 Redstone Center Dr Ste 115, Park City, UT 84098-7930 | 2014-10-09 |
| 1588074256 | Ihc Health Services Inc | Family Medicine | 2720 Homestead Road, Ste 100, Park City, UT 84098-4882 | 2014-05-05 |
| 1851656003 | Think Head First | Family Medicine | 1526 West Ute Blvd Ste 110, Park City, UT 84098 | 2012-07-12 |
| Find all providers in PARK CITY | ||||
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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.