Shannon Ortman (NPI# 1710300074, PAC ID# 2668603804) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1710300074 |
PAC ID by PECOS | 2668603804 |
Professional Enrollment ID | I20140401000975 |
Full Name | Shannon Ortman |
Organization Legal Name | AMMAR KHALIFA, M.D., L.L.C. |
Address |
11661 College Blvd Overland Park KS 66210-4107 |
Phone Number | 9134328400 |
Gender | F |
Graduation Year | 2013 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 1557358348 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
170176 | OVERLAND PARK REG MED CTR |
260085 | ST JOSEPH MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1003 S Cedar St, Beautiful Savior Nursing Home, Belton, MO 64012-3703 | 8163310781 | AMMAR KHALIFA, M.D., L.L.C. |
1000 Carondelet Dr, Kansas City, MO 64114-4673 | 8169424400 | AMMAR KHALIFA, M.D., L.L.C. |
10000 Wornall Rd, Kingswood Health Center, Kansas City, MO 64114-4359 | 8169420994 | AMMAR KHALIFA, M.D., L.L.C. |
11661 College Blvd, Overland Park, KS 66210-4107 | 9134328400 | AMMAR KHALIFA, M.D., L.L.C. |
Organization Legal Name | AMMAR KHALIFA, M.D., L.L.C. |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ammar X Khalifa | Internal Medicine | Ammar Khalifa, M.d., L.L.C. | 1003 S Cedar St, Beautiful Savior Nursing Home, Belton, MO 64012-3703 |
Kristen L Austin | Nurse Practitioner | Ammar Khalifa, M.d., L.L.C. | 11661 College Blvd, Overland Park, KS 66210-4107 |
Nichole T Spencer | Nurse Practitioner | Ammar Khalifa, M.d., L.L.C. | 11661 College Blvd, Overland Park, KS 66210-4107 |
Richard A Arms | Internal Medicine | Ammar Khalifa, M.d., L.L.C. | 1000 Carondelet Dr, Kansas City, MO 64114-4673 |
Street Address |
11661 COLLEGE BLVD |
City | OVERLAND PARK |
State | KS |
Zip | 66210-4107 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nina V Arakelova | Internal Medicine | 11661 College Blvd, Overland Park, KS 66210-4107 | |
Tarek Darwish | Internal Medicine | 11661 College Blvd, Overland Park, KS 66210-4107 | |
Kristen L Austin | Nurse Practitioner | Ammar Khalifa, M.d., L.L.C. | 11661 College Blvd, Overland Park, KS 66210-4107 |
Nichole T Spencer | Nurse Practitioner | Ammar Khalifa, M.d., L.L.C. | 11661 College Blvd, Overland Park, KS 66210-4107 |
Name | Specialty | Organization | Address |
---|---|---|---|
Zachary C Watt | Nurse Practitioner | Body Guitar LLC | 11040 Oakmont St, Overland Park, KS 66210-1100 |
Sean M Wheeler | Interventional Pain Management | Body Guitar LLC | 11040 Oakmont St, Overland Park, KS 66210-1100 |
Katherine A Keaton | Nurse Practitioner | Joy E Cuezze Md LLC | 12100 W 109th St, Delmar Gardens Overland Park, Overland Park, KS 66210-1200 |
Constance Marie Irick | Family Medicine | 11020 King St, Suite 220, Overland Park, KS 66210-1201 | |
Lawton A Hicks | Certified Registered Nurse Anesthetist (crna) | 10995 Quivira Rd, Overland Park, KS 66210-1207 | |
Mahoua Ray | Pain Management | Anesthesiology Professionals Pa | 10995 Quivira Rd, Overland Park, KS 66210-1207 |
Tonya L Miles | Psychologist, Clinical | 11011 King St, Suite 290, Overland Park, KS 66210-1213 | |
Caroline M Chang | Ophthalmology | Heart of America Eye Care, P.a. | 10985 Cody St, Suite 120, Overland Park, KS 66210-1219 |
Jodianne T Carter | Ophthalmology | Heart of America Eye Care, P.a. | 10985 Cody St, Suite 120, Overland Park, KS 66210-1219 |
Stephanie A Erker | Optometry | Heart of America Eye Care, P.a. | 10985 Cody St, Suite 120, Overland Park, KS 66210-1219 |
Find all physicians in zip 66210 |
City | OVERLAND PARK |
Zip Code | 66210 |
Specialty | NURSE PRACTITIONER |
City + Specialty | OVERLAND PARK + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.