Organization Active NPI

Nina Arakelova MD an Operating Division of Providence Medical Cen

  • Internal Medicine Physician
  • Kansas City, KS
National Provider Identifier
1134399975
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NINA ARAKELOVA MD AN OPERATING DIVISION OF PROVIDENCE MEDICAL CEN
Practice address
5701 State Ave
Suite 100
Kansas City, KS 66102-1236
Phone
(913) 287-7800
Fax
(913) 287-1112
NPI assigned
Mar 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Mr. Michael A Dorsey
Title
Ceo Providence Health
Phone
(913) 596-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5701 State Ave
Suite 100
Kansas City, KS 66102-1236

Mailing address

PO Box 12093
Kansas City, KS 66112-0093
Phone (913) 825-6512

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1134399975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12093",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661120093",
            "telephone_number": "913-825-6512",
            "fax_number": "913-328-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 STATE AVE",
            "address_2": "SUITE 100",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661021236",
            "telephone_number": "913-287-7800",
            "fax_number": "913-287-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINA ARAKELOVA MD AN OPERATING DIVISION OF PROVIDENCE MEDICAL CEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "DORSEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO PROVIDENCE HEALTH",
        "authorized_official_telephone_number": "913-596-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.