| Town Plaza Family Practice Llc | |
|
5701 W 119th St Suite 410 Overland Park KS 66209-3722 | |
| (913) 345-3650 | |
| Not Available |
| Full Name | Town Plaza Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5701 W 119th St, Overland Park, Kansas |
| Authorized Official Name and Position | Patrick J Kueny (VP) |
| Authorized Official Contact | 9133453650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Town Plaza Family Practice Llc 5701 W 119th St Suite 410 Overland Park KS 66209-3722 Ph: (913) 345-3650 | Town Plaza Family Practice Llc 5701 W 119th St Suite 410 Overland Park KS 66209-3722 Ph: (913) 345-3650 |
| NPI Number | 1972543494 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 10/23/2008 |
| Medicare PECOS PAC ID | 5496749913 |
|---|---|
| Medicare Enrollment ID | O20051112000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972543494 | NPI | - | NPPES |
| 23902020 | Other | MO | BCBS OF KC |
| 506089606 | Medicaid | MO | |
| 100453440A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nicole M Fearing |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801847595 PECOS PAC ID: 6709814676 Enrollment ID: I20050801001241 |
| Provider Name | Randy C Luzania |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558356543 PECOS PAC ID: 1951361013 Enrollment ID: I20061116000132 |
| Provider Name | Lisa Ann Schnick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215921853 PECOS PAC ID: 3678534450 Enrollment ID: I20061116000174 |
| Provider Name | Laurie D Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831184902 PECOS PAC ID: 0749310613 Enrollment ID: I20100621000146 |
| Provider Name | Jamie D Leopold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184925869 PECOS PAC ID: 2567621279 Enrollment ID: I20120315000130 |
| Provider Name | Peter J Genaris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871562389 PECOS PAC ID: 0749236891 Enrollment ID: I20121003000704 |
| Provider Name | Michelle A Homan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780995720 PECOS PAC ID: 5092956524 Enrollment ID: I20130726000129 |
| Provider Name | Andrew I Oyelere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811356520 PECOS PAC ID: 1254639206 Enrollment ID: I20160407001980 |
| Provider Name | Brietta K Forbes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154769115 PECOS PAC ID: 5799081618 Enrollment ID: I20170111000106 |
| Provider Name | Andrew Bozarth |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184913923 PECOS PAC ID: 0648570028 Enrollment ID: I20170515000088 |
| Provider Name | Trenton D Nauser |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316961006 PECOS PAC ID: 3678745163 Enrollment ID: I20170724002148 |
| Provider Name | Roger A De La Torre |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134115728 PECOS PAC ID: 4688637747 Enrollment ID: I20170920001550 |
| Provider Name | Nicole S Annan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821416876 PECOS PAC ID: 9133347560 Enrollment ID: I20171220001077 |
| Provider Name | James Stephen Scott |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134115637 PECOS PAC ID: 3779549464 Enrollment ID: I20180424000063 |
| Provider Name | John Tann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750796975 PECOS PAC ID: 3375768310 Enrollment ID: I20190925002257 |
| Provider Name | Miranda Renee Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235700204 PECOS PAC ID: 9739570300 Enrollment ID: I20211216000369 |
| Provider Name | Amalia Elena Albor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245973676 PECOS PAC ID: 7517344864 Enrollment ID: I20220506001986 |
| Provider Name | Jeremy Daniel Bryner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437647757 PECOS PAC ID: 0749643062 Enrollment ID: I20230901003003 |
| Provider Name | Victor Martins Costa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053707638 PECOS PAC ID: 9335502699 Enrollment ID: I20231114001503 |
Midwest Hospital Specialists, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10901 Granada Ln, Ste. 200, Overland Park, KS 66211 Phone: 913-660-1616 Fax: 913-660-1664 | |
Francisco M. Garcia, M D Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10640 W 87th St, Overland Park, KS 66214 Phone: 913-888-0780 Fax: 913-888-3402 | |
Millie Medical Of Kansas, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12022 Blue Valley Pkwy Ste 523, Overland Park, KS 66213 Phone: 561-476-0060 | |
Saint Lukes Physician Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8501 W 95th St, Overland Park, KS 66212 Phone: 913-323-8880 | |
Optum Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6860 W 115th St, Overland Park International Trade, Overland Park, KS 66211 Phone: 800-645-9656 | |
Optum Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6860 W 115th St, Overland Park, KS 66211 Phone: 913-253-0601 | |
Spira Innovations, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Spira Care Overland Park 7341 W. 133rd St, Overland Park, KS 66213 Phone: 191-329-7747 |