Provider Demographics
NPI:1922101708
Name:DISABILITY MANAGEMENT ASSOC., P.A.
Entity Type:Organization
Organization Name:DISABILITY MANAGEMENT ASSOC., P.A.
Other - Org Name:COLLEGE REHAB MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:HENDLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-444-1777
Mailing Address - Street 1:6400 PROSPECT
Mailing Address - Street 2:SUITE 346
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64132
Mailing Address - Country:US
Mailing Address - Phone:816-444-1777
Mailing Address - Fax:816-333-3277
Practice Address - Street 1:6400 PROSPECT AVE
Practice Address - Street 2:SUITE 346
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132
Practice Address - Country:US
Practice Address - Phone:816-444-1777
Practice Address - Fax:816-333-3277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO26126022OtherBC/BS OF KC
103786OtherCOVENTRY
CJ8464OtherRAILROAD RETIREMENT
110742OtherBC/BS OF KANSAS
MOL750000AOtherMEDICARE
KS110742OtherGROUP
DD6235OtherRAILROAD RETIREMENT
KSL750000OtherMEDICARE