Healthcare Provider Details

I. General information

NPI: 1851259972
Provider Name (Legal Business Name): MEDSENSE HEALTH PROFESSIONAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2026
Last Update Date: 01/15/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9393 W 110TH ST STE 500
OVERLAND PARK KS
66210-1464
US

IV. Provider business mailing address

PO BOX 7241
TACOMA WA
98417-0241
US

V. Phone/Fax

Practice location:
  • Phone: 253-242-2705
  • Fax:
Mailing address:
  • Phone: 253-242-2705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NEIL TABAKIN
Title or Position: PRESIDENT
Credential: MD
Phone: 253-242-2705