Family Practice Associates CHTD
Organization Active NPI Family Medicine Physician · Kansas City, KS
NPI 1790794089 · NPPES record last updated Dec 7, 2012
Key facts
- NPI
- 1790794089
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- FAMILY PRACTICE ASSOCIATES CHTD
- Practice address
- 1150 N 75TH PL
Suite 200
Kansas City, KS 66112-3302 - Phone
- (913) 299-2100
- Fax
- (913) 299-4205
- NPI assigned
- Aug 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Vicente Carlos Palmeri, M.D.
- Title
- Ceo
- Phone
- (913) 299-2100
Practitioners 11
-
Nicole Elizabeth Berge, PA-C
-
Susan K Fajardo, R.P.A.C.
-
Ronald D Haulmark, R.P.A.C.
-
Hanna Issawi, MD
-
Halla S Moussa, MD
-
Maria Palmeri, MD
-
Megan Suzanne O'Neill, PA-C
-
Ashley Lynn Schmitt, PA-C
National Provider Directory
Locations
1150 N 75th Pl
Kansas City, KS 66112
Phone (913) 299-1040
1150 N 75th Pl
Ste 200
Kansas City, KS 66112
Phone (913) 299-2100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1150 N 75TH PL
Suite 200
Kansas City, KS 66112-3302
Mailing address
PO Box 12066
Kansas City, KS 66112-0066
Phone (913) 299-4966
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C470000 | Other | KS | MEDICARE PTAN |
| C470000A | Other | KS | MEDICARE PTAN |
| 100289320B | Medicaid | KS | |
| 100289320A | Medicaid | KS |
Other providers in Kansas City, KS
- Family Health Care, Inc.
- Family Health Care, Inc.
- Family Health Care, Inc.
- Family Medical Group, PA
- Family Medicine Specialists PA
- Andrew James Fancher
- Richard Jacob Fantus
- Mary Cecilia Fare
- Alexander James Farell
- Noor Farhoud
All providers in Kansas City, KS · Family Medicine 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 Dec 7, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.