Overland Pediatrics and Infectious Disease Care LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

R1J85 Issued in MO

Legal business name

OVERLAND PEDIATRICS AND INFECTIOUS DISEASE CARE LLC

Practice address

930 Carondelet Dr
Suite 303
Kansas City, MO 64114-4855

Phone

(816) 941-0440

Fax

(816) 941-9966

NPI assigned

Jan 30, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Armisa Tongson Cullens, M.D.NPI 1265578751

Title

Ceo

Phone

(816) 941-0440

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Armisa Tongson Cullens, M.D.

  • Pediatrics Physician
  • Kansas City, MO
  • NPI 1265578751
  NPD (past) Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801932355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 CARONDELET DR",
            "address_2": "SUITE 303",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144855",
            "telephone_number": "816-941-0440",
            "fax_number": "816-941-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 CARONDELET DR",
            "address_2": "SUITE 303",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144855",
            "telephone_number": "816-941-0440",
            "fax_number": "816-941-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERLAND PEDIATRICS AND INFECTIOUS DISEASE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CULLENS",
        "authorized_official_first_name": "ARMISA",
        "authorized_official_middle_name": "TONGSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "816-941-0440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "0422532",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "R1J85",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2050070802",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanne-Marie Ouellette, LCSW
• Our Home 2 Yours LLC
• Clinique Outland, OTR/L
• Outpatient Anesthesia Specialists LLC
• Leah Overbay
• Emily Overland, LPC
• James Robert Overlease III, M.D.
• Blake Overly, DC
• Kelly Lynn Overman, MD
• Kalia Overton

• Pediatrics Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.