Provider Demographics
NPI:1154511277
Name:HEARTS WITH HANDS ELDERCARE PHYSICIANS PA
Entity Type:Organization
Organization Name:HEARTS WITH HANDS ELDERCARE PHYSICIANS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MD
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:M
Authorized Official - Last Name:GALLUP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-238-1144
Mailing Address - Street 1:236 ARAPAHO CIR E
Mailing Address - Street 2:
Mailing Address - City:LAKE QUIVIRA
Mailing Address - State:KS
Mailing Address - Zip Code:66217-8717
Mailing Address - Country:US
Mailing Address - Phone:913-238-1144
Mailing Address - Fax:888-362-3537
Practice Address - Street 1:600 NW PRYOR RD
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64081-1104
Practice Address - Country:US
Practice Address - Phone:888-362-3537
Practice Address - Fax:888-362-3537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
X820000Medicare PIN