DR. HODA TAVALALI


Address: 2800 Clay Edwards Dr, Kansas City, MO 64116-3220
Phone: 8166912000

DR. HODA TAVALALI (NPI# 1851564033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851564033
Entity Type Individual
Full Name DR. HODA TAVALALI
Other Name DR. HODA TAVALALI WEISS
Credential MD
Practice Address 2800 Clay Edwards Dr
Kansas City
MO 64116-3220
Mailing Address Po Box 11157
Kansas City
MO 64119-0157
Practice Telephone 8166912000
Mailing Telephone 8163467220
Enumeration Date 2008-04-08
Last Update Date 2017-10-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 2011009932 MO Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program MO Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
MO 1851564033 05

Office Location

Street Address 2800 CLAY EDWARDS DR
City KANSAS CITY
State MO
Zip Code 64116-3220

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023653359 Leah Noel Carmichael Nurse Practitioner 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 2019-11-11
1003269291 Sydney Juergens Dietitian, Registered 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 2016-07-22
1497114334 Rachel Eubank Dietitian, Registered 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 2016-02-21
1336435999 Adam Joseph Schulte Physical Medicine & Rehabilitation 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 2011-06-22
1497918270 Zachary Kyle Shafer Radiology 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 2008-07-02
1780846097 Peggy Eldredge Registered Nurse 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 2008-06-27
1699937979 Carrie A Michel Dietitian, Registered 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 2008-06-27
1982866299 Kay Suppes Registered Nurse 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 2008-06-27
1871750729 Jason Swink Internal Medicine 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 2008-05-19
1023168622 Julia J. Neperud Radiology 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 2007-01-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326503830 Ladeja Holland Student in an Organized Health Care Education/Training Program 4421 N Oak Trfy, Kansas City, MO 64116 2019-02-08
1982179388 Casady's Counseling Counselor 1201 Nw Briarcliff Pkwy Ste 200 Office233, Kansas City, MO 64116 2018-10-11
1427543818 Amanda E Foster Physical Therapist 3810 N Mulberry Drive 202, Kansas City, MO 64116 2018-06-27
1992290555 Lucas J Mathes Physician Assistant 2790 Clay Edwards Drive, Suite 650, North Kansas City, MO 64116 2018-06-26
1952828816 Danielle Marie Rush Physical Therapist 1501 Nw 38th St., Apt. 305, Kansas City, MO 64116 2017-08-23
1992229629 Ankita Bhakta Physical Therapy Assistant 4407 N Mulberry Dr, Kansas City, MO 64116 2017-08-03
1720430945 Deon Hicks Physical Therapist 851 Nw 45th Street, Suite 209, Kansas City, MO 64116 2016-07-12
1851712228 Cindy Eldridge Counselor 1201 Nw Briarcliff Pkwy Ste 200, Kansas City, MO 64116 2014-01-02
1841629904 Jamie Lyn Jackson Specialist/Technologist 2790 Clay Edwards Dr. Ste #650, North Kansas City, MO 64116 2013-11-08
1487099388 Lisa M Grasing Family Medicine 4150 N. Mulberry Dr, Suite 160, Kansas City, MO 64116 2013-05-06
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811491012 Daniel Martin Kolm Emergency Medicine 2106 Olathe Blvd Ms 1060, Kansas City, KS 66160 2018-03-21
1972999225 Timothy O Olatunde Emergency Medicine 4410 Wornall Road, Kansas City, MO 64111 2015-04-14
1982909891 Mark Joshua Foland Emergency Medicine 8929 Parallel Parwkay, Attn: Emergency Department, Kansas City, KS 66112 2011-01-24
1013210301 John Henry Beckett Emergency Medicine 9415 Ne 91st St, Kansas City, MO 64157-8663 2010-12-08
1194031542 Kyung Hun Nam Emergency Medicine 3901 Rainbow Blvd - Ms1045, Kansas City, KS 66160 2010-08-24
1639494412 Lukuman Olumide Afuwape Emergency Medicine 2411 Holmes St # M2-302, Umkc School of Medicine Residency Program, Kansas City, MO 64108-2741 2010-04-05
1639365687 Blaine Mitsuyuki Okino Emergency Medicine 920 Main St Ste 300, Kansas City, MO 64105-2008 2007-09-23
1487712808 Adedapo Adeyemi Oduye Emergency Medicine 1600 Genessee St, 561, Kansas City, MO 64102-1039 2006-12-05
1235297920 Preston Brent Koprivica Emergency Medicine 10127 Leavenworth Rd, Kansas City, KS 66109-3050 2006-12-05
1487749859 Shane Randall Christensen Emergency Medicine 7900 Lees Summit Road, Kansas City, MO 66139 2006-10-03
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Competitor

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City KANSAS CITY
Zip Code 64116

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Dataset Information

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.

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