A4Me, Professional Association

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

436887 Issued in KS

Legal business name

A4ME, PROFESSIONAL ASSOCIATION

Practice address

9100 W 74TH St
Shawnee Mission, KS 66204-4004

Phone

(913) 485-4139

NPI assigned

Feb 27, 2014

Last updated

Feb 27, 2014By 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

Maniza Ehtesham, MDNPI 1124052386

Title

Certifying Officer

Phone

(913) 485-4139

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS2 enrollments

Enrollment records 2

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.

• Maniza W Ehtesham, MD

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1124052386

  KS

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1972928935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 LARSEN ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662216807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 W 74TH ST",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662044004",
            "telephone_number": "913-485-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A4ME, PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "EHTESHAM",
        "authorized_official_first_name": "MANIZA",
        "authorized_official_title_or_position": "CERTIFYING OFFICER",
        "authorized_official_telephone_number": "913-485-4139",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KS",
            "license": "436887",
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Bagby Abraham, CRNA
• Accessibility Remodeling LLC
• Shelly L Acord, CRNA
• Kristin M Adams, MD
• Advantage Dental Implant and Denture, P.a. (Gentle Dental Kansas)

• Primary Care Clinic/Center in Shawnee Mission, KS
• Providers in Shawnee Mission, KS by specialty
• Primary Care Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.