Malia Dejong (NPI# 1154870624, PAC ID# 8123308178) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1154870624 |
PAC ID by PECOS | 8123308178 |
Professional Enrollment ID | I20161208000570 |
Full Name | Malia Dejong |
Organization Legal Name | KANSAS CITY KIDNEY CONSULTANTS PA |
Address |
100 Ne Missouri Rd Suite 204 Lees Summit MO 64068-4702 |
Phone Number | 8165310552 |
Gender | F |
Graduation Year | 2016 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 2769454644 |
Number of Group Practice Members | 16 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
260138 | ST LUKES HOSPITAL OF KANSAS CITY |
Address | Phone | Organization |
---|---|---|
4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5964 | 8165310552 | KANSAS CITY KIDNEY CONSULTANTS PA |
100 Ne Missouri Rd, Suite 204, Lees Summit, MO 64068-4702 | 8165310552 | KANSAS CITY KIDNEY CONSULTANTS PA |
12300 Metcalf Ave, Overland Park, KS 66213-1324 | 8165310552 | KANSAS CITY KIDNEY CONSULTANTS PA |
Organization Legal Name | KANSAS CITY KIDNEY CONSULTANTS PA |
Physicians | 17 |
Name | Specialty | Organization | Address |
---|---|---|---|
Emily Johnston | Nurse Practitioner | Kansas City Kidney Consultants Pa | 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5964 |
Irme Akhtar | Nephrology | Kansas City Kidney Consultants Pa | 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5964 |
Barry C Wood | Internal Medicine | Kansas City Kidney Consultants Pa | 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5964 |
Ryan M Lustig | Nephrology | Kansas City Kidney Consultants Pa | 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5964 |
Johanna L Mccullagh | Nephrology | Kansas City Kidney Consultants Pa | 12300 Metcalf Ave, Overland Park, KS 66213-1324 |
Gretchen Casper | Nurse Practitioner | Kansas City Kidney Consultants Pa | 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5964 |
Jennifer L. Branch | Nurse Practitioner | Kansas City Kidney Consultants Pa | 100 Ne Missouri Rd, Suite 204, Lees Summit, MO 64068-4702 |
Molly L. Cahill | Nurse Practitioner | Kansas City Kidney Consultants Pa | 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5964 |
Rachel Joy Luber | Nurse Practitioner | Kansas City Kidney Consultants Pa | 100 Ne Missouri Rd, Suite 204, Lees Summit, MO 64068-4702 |
Suzanne D Cummings | Nurse Practitioner | Kansas City Kidney Consultants Pa | 100 Ne Missouri Rd, Suite 204, Lees Summit, MO 64068-4702 |
Street Address |
100 NE MISSOURI RD SUITE 204 |
City | LEES SUMMIT |
State | MO |
Zip | 64068-4702 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ravi S J Singh | Ophthalmology | Retina Associates Pa | 100 Ne Missouri Rd, Suite 203, Lee Summit, MO 64086-4702 |
Gregory M Fox | Ophthalmology | Retina Associates Pa | 100 Ne Missouri Rd, Suite 203, Lee Summit, MO 64086-4702 |
Jennifer L. Branch | Nurse Practitioner | Kansas City Kidney Consultants Pa | 100 Ne Missouri Rd, Suite 204, Lees Summit, MO 64068-4702 |
Steven R Cohen | Ophthalmology | Retina Associates Pa | 100 Ne Missouri Rd, Suite 203, Lee Summit, MO 64086-4702 |
Rachel Joy Luber | Nurse Practitioner | Kansas City Kidney Consultants Pa | 100 Ne Missouri Rd, Suite 204, Lees Summit, MO 64068-4702 |
Suzanne D Cummings | Nurse Practitioner | Kansas City Kidney Consultants Pa | 100 Ne Missouri Rd, Suite 204, Lees Summit, MO 64068-4702 |
Ahmed M Awad | Internal Medicine | Kansas City Kidney Consultants Pa | 100 Ne Missouri Rd, Suite 204, Lees Summit, MO 64068-4702 |
Name | Specialty | Organization | Address |
---|---|---|---|
Hannah Page | Occupational Therapy | Arc Physical Therapy Plus Lp | 527 N State Route 291 A, Liberty, MO 64068-1045 |
Scott Joseph Mcknight | Ophthalmology | Mcknight Eye Centers, PC | 515 N State Route 291, Liberty, MO 64068-1045 |
Maria Gabriela Miller | Physical Therapy | Arc Physical Therapy Plus Lp | 527 N State Route 291 A, Liberty, MO 64068-1045 |
Brett J Mcknight | Ophthalmology | Mcknight Eye Centers, PC | 515 N State Route 291, Liberty, MO 64068-1045 |
Dustin S Mcknight | Ophthalmology | Mcknight Eye Centers, PC | 515 N State Route 291, Liberty, MO 64068-1045 |
Anthony T Brand | Optometry | Mcknight Eye Centers, PC | 515 N State Route 291, Liberty, MO 64068-1045 |
Kathryn A Hembree | Ophthalmology | Northland Eye Specialists PC | 1200 Landmark Ave, Liberty, MO 64068-1051 |
Christine L Mitts | Optometry | Northland Eye Specialists PC | 1200 Landmark Ave, Liberty, MO 64068-1051 |
Andrea R Keele | Optometry | Northland Eye Specialists PC | 1200 Landmark Ave, Liberty, MO 64068-1051 |
Janet M Boschert | Optometry | Northland Eye Specialists PC | 1200 Landmark Ave, Liberty, MO 64068-1051 |
Find all physicians in zip 64068 |
City | LEES SUMMIT |
Zip Code | 64068 |
Specialty | NURSE PRACTITIONER |
City + Specialty | LEES SUMMIT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Malia Dejong.
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.