Jiny Mathew Olickal (NPI# 1477923498, PAC ID# 9830426063) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1477923498 |
| PAC ID by PECOS | 9830426063 |
| Professional Enrollment ID | I20190812001788 |
| Full Name | Jiny Mathew Olickal |
| Organization Legal Name | HEARTLAND REGIONAL MEDICAL CENTER |
| Address |
12110 Holmes Rd Kansas City MO 64145-1707 |
| Phone Number | 8169423827 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 6709772767 |
| Number of Group Practice Members | 275 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260006 | MOSAIC LIFE CARE AT ST JOSEPH |
| Address | Phone | Organization |
|---|---|---|
| 12110 Holmes Rd, Kansas City, MO 64145-1707 | 8169423827 | HEARTLAND REGIONAL MEDICAL CENTER |
| Organization Legal Name | HEARTLAND REGIONAL MEDICAL CENTER |
| Physicians | 267 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sajjad Ahmad | Cardiovascular Disease (cardiology) | Heartland Regional Medical Center | 5514 Corporate Dr, Suite 150, Saint Joseph, MO 64507-7763 |
| Tomonori Alan Oyadomari | Nephrology | Heartland Regional Medical Center | 12110 Holmes Rd, Kansas City, MO 64145-1707 |
| Khang D Le | General Surgery | Heartland Regional Medical Center | 802 N Riverside Rd, G50 Mosaic Life Care, St Joseph, MO 64057-2553 |
| Andre J Arsenault | Internal Medicine | Heartland Regional Medical Center | 5325 Faraon St, Saint Joseph, MO 64506-3488 |
| Asad Kabir | Pulmonary Disease | Heartland Regional Medical Center | 5301 Faraon St, Suite 210b, Saint Joseph, MO 64506-3800 |
| Larry Darnell Parker Jr. | Physical Therapy | Heartland Regional Medical Center | 8880 Ne 82nd Terrace Rm, Kansas City, MO 61458-1313 |
| Haytham A Hussein | Family Practice | Heartland Regional Medical Center | 6185 Nw Jefferson St, Parkville, MO 64152-3683 |
| Jean M Patrick | Nurse Practitioner | Heartland Regional Medical Center | 37174 State Hwy Vv, Conception, MO 64433-8102 |
| Kristen L Selland | Certified Nurse Midwife (cnm) | Heartland Regional Medical Center | 5210 N Belt Hwy Entrance B, Mosaic Life Care, Saint Joseph, MO 64506-3488 |
| Benjamin S Reine | Family Medicine | Heartland Regional Medical Center | 5210 N Belt Hwy Entrance C, Mosaic Life Care, St Joseph, MO 64506-1211 |
| Street Address |
12110 HOLMES RD |
| City | KANSAS CITY |
| State | MO |
| Zip | 64145-1707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tomonori Alan Oyadomari | Nephrology | Heartland Regional Medical Center | 12110 Holmes Rd, Kansas City, MO 64145-1707 |
| Camilla A Walling | Nurse Practitioner | Heartland Regional Medical Center | 12110 Holmes Rd, Kansas City, MO 64145-1707 |
| Scott S Brown | Nephrology | Heartland Regional Medical Center | 12110 Holmes Rd, Kansas City, MO 64145-1707 |
| Susan H Brown | Nephrology | Heartland Regional Medical Center | 12110 Holmes Rd, Kansas City, MO 64145-1707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorna A Mccartney | Nurse Practitioner | Prime Healthcare Kansas City - Physician Services LLC | 11901 Wornall Rd, Kansas City, MO 64145-1007 |
| Maria A Ferrell | Nurse Practitioner | Kansas City Hospice Inc | 12000 Wornall Rd, Kansas City Hospice House, Kansas City, MO 64145-1117 |
| Denise E Sanders | Nurse Practitioner | Kansas City Hospice Inc | 12000 Wornall Rd, Kansas City Hospice House, Kansas City, MO 64145-1117 |
| Donald Miller | Optometry | K C Vision Center, LLC | 1701 W 133rd St, Kansas City, MO 64145-1631 |
| Steven B Bartholomew | Optometry | 1201 W 136th St, Kansas City, MO 64145-1647 | |
| Shawna R Harmon | Nurse Practitioner | Minuteclinic Diagnostic of Kansas Pa | 13101 State Line Rd, Kansas City, MO 64145-1650 |
| Justin R Snead | Physical Therapy | Elite Sports Medicine and Physical Therapy | 13157 State Line Rd, Kansas City, MO 64145-1650 |
| Sara Ashley Clayton | Physical Therapy | Elite Sports Medicine and Physical Therapy | 13157 State Line Rd, Kansas City, MO 64145-1650 |
| Brittany Rose Oppland | Physical Therapy | Elite Sports Medicine and Physical Therapy | 13157 State Line Rd, Kansas City, MO 64145-1650 |
| Cody W Hullman | Physical Therapy | Elite Sports Medicine and Physical Therapy | 13157 State Line Rd, Kansas City, MO 64145-1650 |
| Find all physicians in zip 64145 | |||
| City | KANSAS CITY |
| Zip Code | 64145 |
| Specialty | NEPHROLOGY |
| City + Specialty | KANSAS CITY + NEPHROLOGY |
Please comment or provide details below to improve the information on Jiny Mathew Olickal.
| 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.