MEDICARE: HEARTS WITH HANDS ELDERCARE PHYSICIANS PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QG0300X	Geriatric Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1154511277
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTS WITH HANDS ELDERCARE PHYSICIANS PA

Provider Business Mailing Address
First Line	:	236 ARAPAHO CIR E
Second Line	:
City	:	LAKE QUIVIRA
State	:	KS
Zip	:	66217-8717
Country	:	US
Telephone Number	:	913-238-1144
Fax Number	:	888-362-3537

Provider Business Practice Location Address
First Line	:	600 NW PRYOR RD
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64081-1104
Country	:	US
Telephone Number	:	888-362-3537
Fax Number	:	888-362-3537

Authorized Official
Title or Position	:	OWNER/MD
Name	:	DR. ELIZABETH M. GALLUP
Credential	:	M.D.
Telephone Number	:	913-238-1144

Provider Enumeration Date	:	07/25/2007
Last Update Date	:	11/15/2007

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