JASON FANSELAU (NPI# 1942654280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942654280 |
| Entity Type | Individual |
| Full Name | JASON FANSELAU |
| Credential | CNIM |
| Practice Address |
128 W 13th St Apt 1011 Kansas City MO 64105-1726 |
| Practice Telephone | 9724896170 |
| Mailing Telephone | 9724896170 |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-04-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
128 W 13TH ST APT 1011 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64105-1726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851457469 | Midamerica Alliance for Access Corporation | Case Management | 311 Delaware St., #102 #a, Kansas City, MO 64105 | 2006-12-28 |
| 1396352753 | Alexis Cornelio | Pharmacist | 425 Washington St Apt 409, Kansas City, MO 64105-1115 | 2020-09-29 |
| 1295243475 | Nikita Shah | Dentist | 210 W 5th St Apt 101, Kansas City, MO 64105-1165 | 2018-01-22 |
| 1225541477 | Access Personal Care | Case Management | 311 Delaware St # 102a, Kansas City, MO 64105-1215 | 2017-11-09 |
| 1396803748 | Wray Robert Williams | Chiropractor | 317 Delaware St, Kansas City, MO 64105-1215 | 2006-12-05 |
| 1710599287 | River Market Dental LLC | Clinic/Center | 317 Delaware St, Kansas City, MO 64105-1215 | 2020-08-17 |
| 1316417413 | Accelerated Medical Distributing, LLC | Durable Medical Equipment & Medical Supplies | 311 Delaware St # 102a, Kansas City, MO 64105-1215 | 2018-11-30 |
| 1346731122 | John Tyler Zagorec | Dentist | 317 Delaware St, Kansas City, MO 64105-1215 | 2018-05-29 |
| 1427555051 | Scripted Healthcare System | Durable Medical Equipment & Medical Supplies | 311 Delaware St # 102a, Kansas City, MO 64105-1215 | 2018-04-10 |
| 1093220766 | Access Personal Care LLC | In Home Supportive Care | 311 Delaware St # 102a, Kansas City, MO 64105-1215 | 2017-12-04 |
| Find all providers in zip 64105 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932428109 | John Alan Ross | Specialist/Technologist, Other | 9905 N Willow Ave, Kansas City, MO 64157-1046 | 2010-05-26 |
| 1639492648 | Olivia Fisher | Specialist/Technologist, Other | 5500 Wyandotte St, Kansas City, MO 64113-1217 | 2010-03-04 |
| 1881955250 | Seastnan Medical, LLC | Specialist/Technologist, Other | 5500 Wyandotte St, Kansas City, MO 64113-1217 | 2012-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134746084 | Midwest Monitoring LLC | Specialist/Technologist, Other | 5796 S Route K, Columbia, MO 65203-9152 | 2020-06-26 |
| 1255650099 | Jeffery Lynn Ingram | Specialist/Technologist, Other | 205 N Park Dr, Raymore, MO 64083-9186 | 2010-05-19 |
| 1871132548 | Anthony Clark Dunning | Specialist/Technologist, Other | 7746 Rannells Ave, Saint Louis, MO 63143-1823 | 2019-12-30 |
| 1043730559 | Monument Diagnostics LLC | Specialist/Technologist, Other | 4579 Laclede Ave, Pmb #282, Saint Louis, MO 63108-2103 | 2017-06-26 |
| 1174921514 | Neurotherapy Center of St Louis LLC | Specialist/Technologist, Other | 425 Marshall Ave, Webster Grvs, MO 63119-1833 | 2014-12-17 |
| City | KANSAS CITY |
| Zip Code | 64105 |
Please comment or provide details below to improve the information on JASON FANSELAU.
| 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.