Healthcare Provider Details

I. General information

NPI: 1225754757
Provider Name (Legal Business Name): DAYAMED PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2022
Last Update Date: 03/25/2024
Certification Date: 03/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7381 W 133RD ST STE 200
OVERLAND PARK KS
66213-4771
US

IV. Provider business mailing address

1000 N WEST ST STE 1200
WILMINGTON DE
19801-1058
US

V. Phone/Fax

Practice location:
  • Phone: 800-931-5883
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. REBECCA ANN SWISHER
Title or Position: VICE PRESIDENT CLINICAL OPERATIONS
Credential: DNP
Phone: 316-644-2373