Provider Demographics
NPI:1154372324
Name:NEPHROLOGY & HYPERTENSION SERVICE'S, P.A.
Entity type:Organization
Organization Name:NEPHROLOGY & HYPERTENSION SERVICE'S, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:BRENT
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:913-441-5757
Mailing Address - Street 1:6850 HILLTOP RD
Mailing Address - Street 2:SUITE #100
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66226-3532
Mailing Address - Country:US
Mailing Address - Phone:913-441-5757
Mailing Address - Fax:913-441-7979
Practice Address - Street 1:6850 HILLTOP RD
Practice Address - Street 2:SUITE #100
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66226-3532
Practice Address - Country:US
Practice Address - Phone:913-441-5757
Practice Address - Fax:913-441-7979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-13
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0423568207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200266520AMedicaid
MO34163011OtherBLUE CROSS OF KANSAS CITY
KS111027OtherBLUE CROSS OF KANSAS
KS200266520AMedicaid
KS111027OtherBLUE CROSS OF KANSAS