Awni a. Gayed, MD, P.a.
Organization Active NPI Psychiatry Physician · Overland Park, KS
NPI 1770519332 · NPPES record last updated Sep 24, 2008
Key facts
- NPI
- 1770519332
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- MD102543 (MO)
- Legal business name
- AWNI A. GAYED, MD, P.A.
- Practice address
- 10965 Granada LN
Suite 201
Overland Park, KS 66211-1401 - Phone
- (913) 685-8387
- Fax
- (913) 317-8193
- NPI assigned
- Jun 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Awni A Gayed, MD
- Title
- President
- Phone
- (913) 685-8387
Practitioners 2
-
Awni A Gayed, M.D
-
Judy Kay Snyder, LSCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080731000544 | MO | Part B Supplier - Clinic/Group Practice | 3274607759 |
Receives reassigned benefits from 1 practitioner Practice locations: Independence, MO; Raytown, MO; Raymore, MO; Kansas City, MO; Gladstone, MO; Blue Springs, MO; Belton, MO |
| O20081024000693 | KS | Part B Supplier - Clinic/Group Practice | 3274607759 |
Receives reassigned benefits from 1 practitioner Practice locations: Overland Park, KS; Leawood, KS |
National Provider Directory
Locations
10551 Barkley St
Ste 315
Overland Park, KS 66212
Phone (913) 317-8332
10551 Barkley St
Ste 512
Overland Park, KS 66212
Phone (913) 205-7049
10965 Granada Ln
Ste 201
Overland Park, KS 66211
Phone (913) 685-8387
11901 Rosewood St
Overland Park, KS 66209
Phone (913) 345-1745
12610 W 137th St
Overland Park, KS 66221
6515 W 103rd St
Shawnee Mission, KS 66212
Phone (913) 642-5545
1702 Rainbow Blvd
Excelsior Springs, MO 64024
3980 E Jackson Dr
Independence, MO 64057
Phone (816) 743-4378
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | MD102543 | MO | Yes |
Addresses
Primary practice location
10965 Granada LN
Suite 201
Overland Park, KS 66211-1401
Mailing address
PO Box 26444
Shawnee Mission, KS 66225-6444
Phone (913) 248-9693
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100165280B | Medicaid | KS |
Other providers in Overland Park, KS
- Beverly C Avery
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- Wael Awadalla
- Awaken Counseling LLC
- Amna Awan
- Allison Rashelle Awtrey
- Vanessa Renee Axelsen
- Ayainna Axson
- Sarah Ayers
- Azalee'S in Home Care LLC
All providers in Overland Park, KS · Psychiatry Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.