| Ammar Khalifa, M.d., L.l.c. | |
|
8901 W 74th St Suite 147 Shawnee Mission KS 66204-2204 | |
| (913) 432-8400 | |
| (913) 432-8402 |
| Full Name | Ammar Khalifa, M.d., L.l.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 8901 W 74th St, Shawnee Mission, Kansas |
| Authorized Official Name and Position | Ammar Khalifa (PRESIDENT) |
| Authorized Official Contact | 9134328400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ammar Khalifa, M.d., L.l.c. Po Box 932017 Kansas City MO 64121-2017 Ph: (913) 248-9693 | Ammar Khalifa, M.d., L.l.c. 8901 W 74th St Suite 147 Shawnee Mission KS 66204-2204 Ph: (913) 432-8400 |
| NPI Number | 1508825878 |
|---|---|
| Provider Enumeration Date | 03/23/2006 |
| Last Update Date | 12/11/2007 |
| Medicare PECOS PAC ID | 1557358348 |
|---|---|
| Medicare Enrollment ID | O20040426000880 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508825878 | NPI | - | NPPES |
| 200378130A | Medicaid | KS | |
| 501170401 | Medicaid | MO | |
| 36903019 | Other | MO | BLUE SHIELD KANSAS CITY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 04-29215 (Kansas) | Primary |
| Provider Name | Ammar X Khalifa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780677948 PECOS PAC ID: 9638062185 Enrollment ID: I20040511001060 |
| Provider Name | Shannon Ortman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710300074 PECOS PAC ID: 2668603804 Enrollment ID: I20140423001907 |
John B. Sturgeon M.d. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8800 W 75th St, Ste 310, Shawnee Mission, KS 66204 Phone: 913-671-7803 Fax: 913-722-0012 | |
Kansas Medical Professionals Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-676-2000 | |
Wellspring Healthcare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12700 Antioch Rd, Shawnee Mission, KS 66213 Phone: 909-815-3324 | |
Health Partnership Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9119 W 74th St, Ste 210, Shawnee Mission, KS 66204 Phone: 913-648-2266 | |
Thomas W. Fulbright M.d. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8901 W 74th St, Shawnee Mission, KS 66204 Phone: 913-261-2222 Fax: 913-261-2229 |