| Nelopher Medical Group | |
|
14433 W 86th Ter Lenexa KS 66215-4178 | |
| (913) 634-3540 | |
| (913) 825-6358 |
| Full Name | Nelopher Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 14433 W 86th Ter, Lenexa, Kansas |
| Authorized Official Name and Position | Waddah Y Ghosheh (PRACTICE MANAGER) |
| Authorized Official Contact | 9136343540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nelopher Medical Group 9506 W 149th Ter Overland Park KS 66221-8202 Ph: (913) 302-5188 | Nelopher Medical Group 14433 W 86th Ter Lenexa KS 66215-4178 Ph: (913) 634-3540 |
| NPI Number | 1740641455 |
|---|---|
| Provider Enumeration Date | 03/09/2016 |
| Last Update Date | 03/09/2016 |
| Medicare PECOS PAC ID | 2466745906 |
|---|---|
| Medicare Enrollment ID | O20160721001457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740641455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0431411 (Kansas) | Primary |
| Provider Name | Nelopher Hathiary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023159522 PECOS PAC ID: 3971529017 Enrollment ID: I20051018001186 |
| Provider Name | Srinivasa Reddy Kakumanu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538251020 PECOS PAC ID: 6709806938 Enrollment ID: I20051201000806 |
| Provider Name | Susan Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841498441 PECOS PAC ID: 1557418290 Enrollment ID: I20090604000104 |
| Provider Name | Kendra P Vogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790239978 PECOS PAC ID: 2264726116 Enrollment ID: I20160816001237 |
| Provider Name | Danielle a Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265831994 PECOS PAC ID: 7911129820 Enrollment ID: I20161205000374 |
| Provider Name | Lucyanne Okwomi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508309329 PECOS PAC ID: 3971883240 Enrollment ID: I20180621001740 |
| Provider Name | Lilian Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104458116 PECOS PAC ID: 9032549027 Enrollment ID: I20200414003656 |
| Provider Name | Amy Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851912257 PECOS PAC ID: 0840614657 Enrollment ID: I20200724002704 |
| Provider Name | Courtney Kelso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780268862 PECOS PAC ID: 1153727300 Enrollment ID: I20210914000377 |
| Provider Name | Papri Barman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417694902 PECOS PAC ID: 4082090204 Enrollment ID: I20220926001660 |
| Provider Name | Raha R Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477260016 PECOS PAC ID: 6507237518 Enrollment ID: I20230130000242 |
| Provider Name | Amanda Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346946639 PECOS PAC ID: 7113392242 Enrollment ID: I20230403002513 |
| Provider Name | Tamerayehu a Tolla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154020998 PECOS PAC ID: 2961868013 Enrollment ID: I20230516003094 |
| Provider Name | Rebekah Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730883778 PECOS PAC ID: 0547622037 Enrollment ID: I20230815004030 |
| Provider Name | Christina Halley Arpin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083441570 PECOS PAC ID: 5496277337 Enrollment ID: I20250319004298 |
| Provider Name | Haylei Stamps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992525778 PECOS PAC ID: 0547764490 Enrollment ID: I20250918000546 |
| Provider Name | Jenna N Yang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073372199 PECOS PAC ID: 2163998501 Enrollment ID: I20260414002573 |
Pear Suite Provider Group KS, P.A. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12345 W 95th St Fl 2, Lenexa, KS 66215 Phone: 213-277-7340 |
Wellness Innovations & Nursing Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14425 College Blvd, Suite 130, Lenexa, KS 66215 Phone: 913-948-5200 Fax: 913-948-5392 |
Andersen Medical Group, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15545 W. 87th St, Lenexa, KS 66219 Phone: 913-565-0780 |
Lill Family Medicine Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15325 W 95th St, Lenexa, KS 66219 Phone: 913-310-9711 |
Alfred Gilgore Medical Associates PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9421 Pflumm Rd, Lenexa, KS 66215 Phone: 913-888-1133 |
Phoenix Healthcare Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11029 Hauser Street, Lenexa, KS 66210 Phone: 913-851-0500 Fax: 913-851-0502 |