PROSPECT HEALTH SERVICES LLC (NPI# 1982877668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982877668 |
Entity Type | Organization |
Organization Name | PROSPECT HEALTH SERVICES LLC |
Practice Address |
3129 Benton Blvd Kansas City MO 64128-1556 |
Practice Telephone | 8168126393 |
Mailing Telephone | 8168126393 |
Enumeration Date | 2008-04-02 |
Last Update Date | 2008-04-02 |
Authorized Official Name | DR. ALFRED W. DAVIS (OWNER) |
Authorized Official Telephone | 8168126393 |
Authorized Official Credential | M. D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 36786 | MO | Other Service Providers |
Street Address |
3129 BENTON BLVD |
City | KANSAS CITY |
State | MO |
Zip Code | 64128-1556 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679927305 | Sobrina Sarah Mohammed | Internal Medicine | 3130 Mersington Ave, Kansas City, MO 64128 | 2016-04-19 |
1316300601 | Waled Bahaj | Internal Medicine | 3120 Mersington Ave, Kansas City, MO 64128 | 2016-04-04 |
1457732521 | Edward Stewart | Contractor | 2816 Bales Ave, Kansas City, MO 64128 | 2015-06-15 |
1144618869 | Kimberly Bergman | Social Worker | 4801 E Linwood Blvd., Kansas City, MO 64128 | 2015-01-05 |
1861826836 | Shelly K Miller | Registered Nurse | 2701 East 31st St, Kansas City, MO 64128 | 2013-08-27 |
1487890778 | School District of Kansas City, Mo | Clinic/Center | 3221 Indiana Ave., Kansas City, MO 64128 | 2008-12-17 |
1912177635 | Dr. Valentenia Daugherty and Dr. Alvin R. Smith, PC | Podiatrist | 2713 East 31st Street, Kansas City, MO 64128 | 2008-03-10 |
1649454844 | Allison Kay Ambrose | Pharmacist | 4801 East Linewood Boulevard, Kansas City, MO 64128 | 2007-12-24 |
1073720058 | Ram N Kamath | Internal Medicine | Kc-vamc, 4801 Linwood Blvd, Kansas City, MO 64128 | 2007-05-17 |
1003937020 | Samuel U. Rodgers Health Center, Inc | Clinic/Center | 2701 E 31st St, Kansas City, MO 64128 | 2007-04-03 |
Find all providers in zip 64128 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164913497 | Gina Marie Savage | Specialist | 2400 Troost Ave Ste 3400, Kansas City, MO 64108-2666 | 2018-05-22 |
1124472451 | Lianne Carr | Specialist | 5200 Ne Vivion Rd, Kansas City, MO 64119-2941 | 2016-04-23 |
1457752925 | Mallory Drake | Specialist | 12801 Saint Andrews Dr, Kansas City, MO 64145-1229 | 2014-09-15 |
1306256870 | Brittany Slater | Specialist | 8523 Parallel Pkwy Apt 11, Kansas City, KS 66112-1772 | 2014-05-05 |
1023439304 | Alisha Cupid | Specialist | 7340 Leavenworth Rd, Kansas City, KS 66109-1226 | 2014-01-03 |
1255588802 | Rebecca Denise Miles | Specialist | 8715 Holmes Rd, Student Services Dept., Kansas City, MO 64131-2802 | 2008-08-26 |
1427225200 | Tenney Pediatrics and Adolescents Medicine LLC | Specialist | 6501 E 87th St, Kansas City, MO 64138-2732 | 2008-05-12 |
1215109616 | Judith M Gross | Specialist | 2737 N 68th St, Kansas City, KS 66109-1845 | 2008-03-26 |
1245425834 | Kenneth Wayne Kidd | Specialist | 1148 W 103rd St, Kansas City, MO 64114-4511 | 2007-09-07 |
1225231970 | John E Pawsat | Specialist | 4320 Wornall Rd Ste 432, Kansas City, MO 64111-3235 | 2007-06-08 |
Find all providers in KANSAS CITY |
City | KANSAS CITY |
Zip Code | 64128 |
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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.