Marie Lynn Pacholec, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9407962 Issued in KS

Practice address

3901 Rainbow Blvd # Ms 1028
3901 Rainbow Blvd Ms 1028
Kansas City, KS 66160-0001

Phone

(913) 588-3891

Fax

(913) 945-6916

NPI assigned

Jun 18, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1386907293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD # MS 1028",
            "address_2": "KUMC INFECTIOUS DIS FELLOWSHIP",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661600001",
            "telephone_number": "913-588-3891",
            "fax_number": "913-945-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD # MS 1028",
            "address_2": "3901 RAINBOW BLVD MS 1028",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661600001",
            "telephone_number": "913-588-3891",
            "fax_number": "913-945-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHOLEC",
        "first_name": "MARIE",
        "middle_name": "LYNN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "9407962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven D Owens, MD
• Stephanie Dawn Oxandale, APRN
• P3 Health
• Carlos Pacheco III, MD
• Katie Pacheco, MD
• Andrea Padilla
• Israel Padilla
• Prathyusha Pagadala, MD
• Sallie S Page-Goertz, ARNP
• John T Page, LPC

• Internal Medicine Physician in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Internal Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.