Stephanie Nicole Clark, MD | |
2401 Gillham Rd, Kansas City, MO 64108-4619 | |
(816) 701-5200 | |
(816) 302-9939 |
Full Name | Stephanie Nicole Clark |
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Gender | Female |
Speciality | Pediatrics |
Location | 2401 Gillham Rd, Kansas City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629310156 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 04-39157 (Kansas) | Primary |
Entity Name | The Childrens Mercy Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851437719 PECOS PAC ID: 2466366026 Enrollment ID: O20050721001065 |
Mailing Address | Practice Location Address |
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Stephanie Nicole Clark, MD 2401 Gillham Rd, Kansas City, MO 64108-4619 Ph: (816) 701-5200 | Stephanie Nicole Clark, MD 2401 Gillham Rd, Kansas City, MO 64108-4619 Ph: (816) 701-5200 |
Ryan A Romans, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3000 Fax: 816-302-9939 | |
Amanda Finn, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 8781 N Platte Purchase Dr, Kansas City, MO 64155 Phone: 816-587-3200 Fax: 816-587-7644 | |
Samira Naime, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3000 Fax: 816-302-9939 | |
Dr. Tess Laurynn Schultz, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3000 Fax: 816-302-9939 | |
Delsie Asmarah Filardi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-983-6763 Fax: 816-821-3081 | |
Gerald M Woods, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3265 | |
Dr. Gangaram Ganpatrao Akangire, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3593 |