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SELECT HEALTHCARE PA NPI 1689772949


NPI Information

NPI: 1689772949
Provider Name: SELECT HEALTHCARE PA
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 17D0937457

Address:
12140 NALL AVE STE 305
OVERLAND PARK, KS
ZIP 66209
Phone: (913) 948-6400
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SELECT HEALTHCARE PA is an internal medicine in Overland Park, KS. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SELECT HEALTHCARE PA NPI is 1689772949. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12140 NALL AVE STE 305
OVERLAND PARK, KS
ZIP 66209-501
Phone: (913) 948-6400

The provider's authorized official is Peggy G Davis .
The authorized official title is Office Administrator and has the following contact phone number (913) 948-6400.

The CLIA number assigned to this NPI record is 17D0937457 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 6/9/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11740226810OTHERROBYN DURST NPI
209414045OTHERID
31003852187OTHERKIMBERLY NAGEL NPI
41942263215OTHERDR MONACO NPI
509414045OTHERMISSOURIDR. DAVIS BLUE CROSS
61679536940OTHERDR DAVIS NPI
716807096OTHERMISSOURIDR MONACO BLUE CROSS
8110141836OTHERDR DAVIS RAILROAD MEDICAR
934603019OTHERROBYN DURST BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.