Ashutosh B Diwan (NPI# 1144214958, PAC ID# 4688666878) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1144214958 |
| PAC ID by PECOS | 4688666878 |
| Professional Enrollment ID | I20070117000385 |
| Full Name | Ashutosh B Diwan |
| Organization Legal Name | MID-AMERICA POLYCLINIC PA |
| Address |
7100 College Blvd Overland Park KS 66210-1862 |
| Phone Number | 9135992440 |
| Gender | M |
| Credential | MD |
| Medical School | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 1998 |
| Primary Specialty | PAIN MANAGEMENT |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 6103714456 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490023 | FAUQUIER HOSPITAL |
| 490144 | NOVANT HEALTH UVA HEALTH HAYMARKET MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7100 College Blvd, Overland Park, KS 66210-1862 | 9135992440 | MID-AMERICA POLYCLINIC PA |
| 493 Blackwell Rd, Suite 202, Warrenton, VA 20186-2628 | 5403474400 | PIEDMONT FAMILY PRACTICE PLC |
| Organization Legal Name | MID-AMERICA POLYCLINIC PA |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tammy L Weeks | Nurse Practitioner | Mid-america Polyclinic Pa | 7100 College Blvd, Overland Park, KS 66210-1862 |
| Dianne R Grafentin-beedle | Nurse Practitioner | Mid-america Polyclinic Pa | 7100 College Blvd, Overland Park, KS 66210-1862 |
| Srinivas R Nalamachu | Physical Medicine and Rehabilitation | Mid-america Polyclinic Pa | 7100 College Blvd, Overland Park, KS 66210-1862 |
| Dennis K Katz | Pain Management | Mid-america Polyclinic Pa | 7100 College Blvd, Overland Park, KS 66210-1862 |
| Tracy Newman | Nurse Practitioner | Mid-america Polyclinic Pa | 7100 College Blvd, Overland Park, KS 66210-1862 |
| Renjini Rajeev Chandra | Physical Medicine and Rehabilitation | Mid-america Polyclinic Pa | 7100 College Blvd, Overland Park, KS 66210-1862 |
| Donna H Ruck | Nurse Practitioner | Mid-america Polyclinic Pa | 7100 College Blvd, Overland Park, KS 66210-1862 |
| Jennifer R Parks | Nurse Practitioner | Mid-america Polyclinic Pa | 7100 College Blvd, Overland Park, KS 66210-1862 |
| Street Address |
7100 COLLEGE BLVD |
| City | OVERLAND PARK |
| State | KS |
| Zip | 66210-1862 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tammy L Weeks | Nurse Practitioner | Mid-america Polyclinic Pa | 7100 College Blvd, Overland Park, KS 66210-1862 |
| Dianne R Grafentin-beedle | Nurse Practitioner | Mid-america Polyclinic Pa | 7100 College Blvd, Overland Park, KS 66210-1862 |
| Srinivas R Nalamachu | Physical Medicine and Rehabilitation | Mid-america Polyclinic Pa | 7100 College Blvd, Overland Park, KS 66210-1862 |
| Dennis K Katz | Pain Management | Mid-america Polyclinic Pa | 7100 College Blvd, Overland Park, KS 66210-1862 |
| Tracy Newman | Nurse Practitioner | Mid-america Polyclinic Pa | 7100 College Blvd, Overland Park, KS 66210-1862 |
| Renjini Rajeev Chandra | Physical Medicine and Rehabilitation | Mid-america Polyclinic Pa | 7100 College Blvd, Overland Park, KS 66210-1862 |
| Robert E Graham | Chiropractic | 7100 College Blvd, Overland Park, KS 66210-1862 | |
| Donna H Ruck | Nurse Practitioner | Mid-america Polyclinic Pa | 7100 College Blvd, Overland Park, KS 66210-1862 |
| Jennifer R Parks | Nurse Practitioner | Mid-america Polyclinic Pa | 7100 College Blvd, Overland Park, KS 66210-1862 |
| 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 | PAIN MANAGEMENT |
| City + Specialty | OVERLAND PARK + PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Ashutosh B Diwan.
| 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.