Pamela Maben, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

107790 Issued in MO

Practice address

4911 S Arrowhead Dr
Suite 200
Independence, MO 64055-7005

Phone

(816) 795-9595

Fax

(816) 795-1188

NPI assigned

Sep 15, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jackson County Medical Group LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Independence, MO
  • NPI 1144277880
  NPD (past)
• Serafini Medical, P.C.

  • Family Medicine Physician
  • Blue Springs, MO
  • NPI 1184024408
  NPD (past)
• Midwest Heart & Vascular Specialists, LLC

  • Cardiovascular Disease Physician
  • Overland Park, KS
  • NPI 1760736615
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1083609077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 S ARROWHEAD DR",
            "address_2": "SUITE 200",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557005",
            "telephone_number": "816-795-9595",
            "fax_number": "816-795-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 S ARROWHEAD DR",
            "address_2": "SUITE 200",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557005",
            "telephone_number": "816-795-9595",
            "fax_number": "816-795-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABEN",
        "first_name": "PAMELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "107790",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MO",
            "license": "107790",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100151230 C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208995803",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100151230B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Mason Lumpkins, PLPC
• Drew Lusby, DENTIST
• Luxottica Retail North America Inc
• Kaitlyn Lyman
• Melissa Noel Lynch, REGISTERED BEHAVIOR
• Jacqueline M Mace, PLPC
• Rosemary Wamaitha Macharia, MSN, APRN, FNP-C
• Ryan M Madrigal, MS, PLMFT
• Jacob Michael Maggard, PLMFT
• Brendon Magruder, PHARM.D.

• Internal Medicine Physician in Independence, MO
• Providers in Independence, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.