| Dr Tara Jill Grimaldi, MD | |
|
20930 W 151st, Olathe, KS 66061 | |
| (913) 782-2525 | |
| (913) 782-9307 |
| Full Name | Dr Tara Jill Grimaldi |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 20930 W 151st, Olathe, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043414105 | NPI | - | NPPES |
| 200441540A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 04-32569 (Kansas) | Primary |
| Entity Name | Olathe Health Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598784639 PECOS PAC ID: 7618881905 Enrollment ID: O20031119000719 |
| Entity Name | Jayhawk Primary Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528025053 PECOS PAC ID: 8123928900 Enrollment ID: O20050721001078 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tara Jill Grimaldi, MD 20930 W 151st, Olathe, KS 66061 Ph: (913) 782-2525 | Dr Tara Jill Grimaldi, MD 20930 W 151st, Olathe, KS 66061 Ph: (913) 782-2525 |
Pamela A Mckean, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20930 W 151st St, Olathe, KS 66061 Phone: 913-782-2525 Fax: 913-782-9307 | |
Carlos Manuel Monzon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20930 W 151st St, Olathe, KS 66061 Phone: 913-782-2525 Fax: 913-782-9307 | |
Dr. Chet Daniel Johnson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 23450 College Blvd, Olathe, KS 66061 Phone: 913-764-7788 Fax: 913-764-6088 | |
Dr. Heather M Baker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 20930 W 151st St, Olathe, KS 66061 Phone: 913-782-2525 Fax: 913-782-9307 | |
Dr. O. Keith Enlow, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 824 W Frontier Ln, Olathe, KS 66061 Phone: 913-764-7060 Fax: 913-764-8059 | |
Dr. Samah Ribhi Murad, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 17516 W 158th St, Olathe, KS 66062 Phone: 913-768-0422 |