William Ian Douglas, MD | |
2401 Gillham Rd, Kansas City, MO 64108-4619 | |
(816) 234-3000 | |
Not Available |
Full Name | William Ian Douglas |
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Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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 |
---|---|---|---|
1407812910 | NPI | - | NPPES |
186255904 | Medicaid | TX | |
186255903 | Other | TX | CSHCN |
8A4324 | Other | TX | BCBSTX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | M8634 (Texas) | Primary |
Entity Name | University Of Kansas Hospital Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528019502 PECOS PAC ID: 9436054798 Enrollment ID: O20050908001103 |
Mailing Address | Practice Location Address |
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William Ian Douglas, MD 2401 Gillham Rd., Provider Enrollment, Kansas City, MO 64108-4619 Ph: (816) 701-5200 | William Ian Douglas, MD 2401 Gillham Rd, Kansas City, MO 64108-4619 Ph: (816) 234-3000 |
Dr. Justin Van Meeteren, DO Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4320 Wornall Rd, Suite 50, Kansas City, MO 64111 Phone: 816-931-3312 Fax: 816-531-9862 | |
Dr. Graham Robertson Young Pollock, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4320 Wornall Rd Ste 50-ii, Kansas City, MO 64111 Phone: 816-931-3312 Fax: 816-531-9862 | |
James Randall Stewart, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 2301 Holmes St, Kansas City, MO 64108 Phone: 816-404-1000 | |
Shauna Rae Roberts, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 2310 Holmes St, Suite 800, Kansas City, MO 64108 Phone: 816-218-2500 | |
Charles Ward Van Way Iii, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2301 Holmes St, Kansas City, MO 64108 Phone: 816-404-0099 | |
Gerald L Early, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 2301 Holmes St, Kansas City, MO 64108 Phone: 816-404-0099 | |
Charles Keith Lee, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1734 E 63rd St, Ste 206a, Kansas City, MO 64110 Phone: 816-361-9508 Fax: 816-361-0727 |