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Physician Compare National (NPI:1750706172)

HEALTHCARE PROVIDER: MELISSA ANNE CALAHAN APRN, WHNP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1750706172
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8820217540
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20140911001168
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name CALAHAN
Individual professional last name
Provider First Name MELISSA
Individual professional first name
Provider Middle Name A
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2013
Individual professional's medical school graduation year
Primary Specialty NURSE PRACTITIONER
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name MIDWEST PHYSICIAN SERVICES LLC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 1658500962
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 40
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 9119 W 74TH
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 268
Group Practice or individual's line 2 address
City SHAWNEE MISSION
Group Practice or individual's city
State KS
Group Practice or individual's state
Zip Code 662042268
Group Practice or individual's zip code (9 digits when available)
Phone Number 9134914020
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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