Mrs Julie E Clark, CRNA | |
2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 | |
(816) 691-1765 | |
(816) 471-1247 |
Full Name | Mrs Julie E Clark |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2800 Clay Edwards Dr, North 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 |
---|---|---|---|
1386669612 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 110806 (Missouri) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 110806 (Missouri) | Primary |
Entity Name | Mercy Medical Center New Hampton |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1770651515 PECOS PAC ID: 9032006325 Enrollment ID: O20070718000690 |
Entity Name | Northstar Anesthesia Of Kansas Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073942074 PECOS PAC ID: 6901038819 Enrollment ID: O20140408001134 |
Mailing Address | Practice Location Address |
---|---|
Mrs Julie E Clark, CRNA 1900 Swift Ave, Suite 203, North Kansas City, MO 64116-3445 Ph: (816) 221-5050 | Mrs Julie E Clark, CRNA 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 Ph: (816) 691-1765 |
Mr. Todd J Zellmer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2800 Clay Edwards Drive, North Kansas City, MO 64116 Phone: 816-221-5050 Fax: 816-471-1247 | |
Ms. Jeanne M Cooper, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2800 Clay Edwards Dr, North Kansas City, MO 64116 Phone: 816-691-2000 | |
Steven R Mcclure, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2800 Clay Edwards Dr, North Kansas City, MO 64116 Phone: 816-221-5050 Fax: 816-471-1247 | |
Mrs. Kimberly A. Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2800 Clay Edwards Dr, North Kansas City, MO 64116 Phone: 816-221-5050 Fax: 816-471-1247 | |
Jeffrey Bradford Enriquez Casperson, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116 Phone: 816-691-2021 Fax: 816-346-7690 | |
Samantha Strobbe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116 Phone: 816-691-2021 Fax: 816-346-7690 | |
Aimee M Callison, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116 Phone: 816-691-2021 Fax: 816-346-7690 |