PREMIER MULTISPECIALTY PHYSICIANS, LLC (NPI# 1871938902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871938902 |
| Entity Type | Organization |
| Organization Name | PREMIER MULTISPECIALTY PHYSICIANS, LLC |
| Practice Address |
4801 College Blvd Leawood KS 66211-1628 |
| Practice Telephone | 9139562250 |
| Practice Fax Number | 9139562251 |
| Mailing Telephone | 9139562250 |
| Mailing Fax Number | 9139562251 |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |
| Authorized Official Name | MR. JEFF ECKERT (ADMINISTRATOR) |
| Authorized Official Telephone | 9135585653 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QB0002X |
Family Medicine Specialization: Obesity Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
4801 COLLEGE BLVD |
| City | LEAWOOD |
| State | KS |
| Zip Code | 66211-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730181900 | David Paul Bankston | Anesthesiology | 4801 College Blvd, Leawood, KS 66211-1628 | 2005-06-01 |
| 1245780659 | Brianna Hoden | Nurse Practitioner | 4801 College Blvd, Leawood, KS 66211 | 2016-10-10 |
| 1841651346 | Laura L Tullis | Nurse Practitioner | 4801 College Blvd, Leawood, KS 66211-1628 | 2016-03-10 |
| 1619314176 | Heartland Physician Services, LLC | Family Medicine | 4801 College Blvd, Leawood, KS 66211-1628 | 2013-05-23 |
| 1245549278 | Tereasa Lynnette Pickert | Physician Assistant | 4801 College Blvd, Leawood, KS 66211-1628 | 2010-09-24 |
| 1265691851 | Bradley Joseph Young | Nurse Anesthetist, Certified Registered | 4801 College Blvd, Leawood, KS 66211-1628 | 2008-06-09 |
| 1790754075 | Jeffrey Brian Mcintosh | Orthopaedic Surgery | 4801 College Blvd, Leawood, KS 66211-1628 | 2006-03-17 |
| 1891769246 | Medical Associated Physicians of Kansas LLC | Emergency Medicine | 4801 College Blvd, Leawood, KS 66211-1628 | 2006-02-14 |
| 1205830270 | Steven Dee Waldman | Anesthesiology | 4801 College Blvd, Leawood, KS 66211-1628 | 2005-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| Find all providers in zip 66211 | ||||
| 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 |
|---|---|---|---|---|
| 1417347857 | Kansas Vascular Medicine, P.a. | Internal Medicine | 6130 E Central Ave Ste 117, Wichita, KS 67208-4238 | 2015-01-23 |
| 1083010458 | Mancina Cardiovascular Medicine | Internal Medicine | 1601 Washington Blvd, Kansas City, KS 66102-2841 | 2014-11-13 |
| 1225303563 | Shone Oscar Almeida | Internal Medicine | 5100 W 110th St Fl 2, Overland Park, KS 66211-1215 | 2012-03-20 |
| 1114234101 | James Clinton Mershon | Internal Medicine | 7617 E Donegal St, Wichita, KS 67206-1613 | 2010-09-12 |
| 1932369238 | Sherman M. Steinzeig | Internal Medicine | 6620 W 93rd St, Apt. A, Overland Park, KS 66212-1303 | 2008-06-11 |
| 1417077272 | Richard B Bloom | Internal Medicine | 3730 N Ridge Rd Ste 200, Kansas Endovascular Medicine Associates, Wichita, KS 67205-1228 | 2007-03-29 |
| 1790834950 | Amit Kumar | Internal Medicine | 6730 Sw 29th St Ste 200, Topeka, KS 66614-5650 | 2007-01-09 |
| 1316013469 | Eecp Heart Center of Kansas Inc | Internal Medicine | 551 N Hillside St Ste 130, Wichita, KS 67214-4924 | 2006-11-28 |
| 1770684912 | Ronnie G. Smalling | Internal Medicine | 11025 Metcalf Avenue, Overland Park, KS 66210 | 2006-09-26 |
| 1356454912 | Thomas L Rosamond | Internal Medicine | 4000 Cambrodge Street Ste G600, Kansas City, KS 66160-8501 | 2006-08-17 |
| Find all providers with the same taxonomy | ||||
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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.