Ch Specialty Services Mo Llc | |
400 Sw Longview Blvd Ste 200 Lees Summit MO 64081-2116 | |
(337) 408-0797 | |
(337) 943-0846 |
Full Name | Ch Specialty Services Mo Llc |
---|---|
Speciality | Internal Medicine |
Location | 400 Sw Longview Blvd Ste 200, Lees Summit, Missouri |
Authorized Official Name and Position | Nicole Howard (SR VP OF ADMINISTRATIVE SERVICES) |
Authorized Official Contact | 3374080797 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ch Specialty Services Mo Llc 5750 Johnston St Ste 205 Lafayette LA 70503-5334 Ph: (337) 408-0797 | Ch Specialty Services Mo Llc 400 Sw Longview Blvd Ste 200 Lees Summit MO 64081-2116 Ph: (337) 408-0797 |
NPI Number | 1194422253 |
---|---|
Provider Enumeration Date | 02/09/2023 |
Last Update Date | 04/09/2024 |
Medicare PECOS PAC ID | 0345614459 |
---|---|
Medicare Enrollment ID | O20230313000663 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194422253 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Joy Eleanor Cuezze |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912015389 PECOS PAC ID: 0840281960 Enrollment ID: I20040519000189 |
Provider Name | Patricia E Caplinger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386631984 PECOS PAC ID: 9830150036 Enrollment ID: I20041021000219 |
Provider Name | Karen L Epperson |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1306849948 PECOS PAC ID: 1951363191 Enrollment ID: I20041101000212 |
Provider Name | Dennis Block |
---|---|
Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
Provider Identifiers | NPI Number: 1235131897 PECOS PAC ID: 9739078262 Enrollment ID: I20050124000122 |
Provider Name | Lewis A Meyerson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568560720 PECOS PAC ID: 7618929456 Enrollment ID: I20050221000138 |
Provider Name | Paul Matthew Doskey |
---|---|
Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1831202704 PECOS PAC ID: 8729020342 Enrollment ID: I20050525000899 |
Provider Name | John J Cascone |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013911999 PECOS PAC ID: 2961436464 Enrollment ID: I20050924000255 |
Provider Name | Peter I Angelin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225133440 PECOS PAC ID: 4385664283 Enrollment ID: I20051206000641 |
Provider Name | Kathryn C Twenter |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841229200 PECOS PAC ID: 3678578135 Enrollment ID: I20060916000017 |
Provider Name | Edward Robinson |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1447351002 PECOS PAC ID: 6305843483 Enrollment ID: I20061102000338 |
Provider Name | Kurt Schultz |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1750394300 PECOS PAC ID: 0042314114 Enrollment ID: I20070329000195 |
Provider Name | Sidney A Cantrell |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1104829282 PECOS PAC ID: 7416975511 Enrollment ID: I20070927000940 |
Provider Name | Manuel L San |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245443548 PECOS PAC ID: 2567540040 Enrollment ID: I20080424000058 |
Provider Name | Kristi K Shaumeyer |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245452895 PECOS PAC ID: 4183793318 Enrollment ID: I20080514000497 |
Provider Name | Gretchen E Fink |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902012719 PECOS PAC ID: 7911075825 Enrollment ID: I20081006000238 |
Provider Name | Janet E Morgan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063403525 PECOS PAC ID: 0749280733 Enrollment ID: I20081218000633 |
Provider Name | Nancy A Squire |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679592414 PECOS PAC ID: 0042376188 Enrollment ID: I20090225000664 |
Provider Name | Julie Bearce |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609013531 PECOS PAC ID: 9638228026 Enrollment ID: I20090513000541 |
Provider Name | Emily S Worthington |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841432150 PECOS PAC ID: 2860545779 Enrollment ID: I20090724000357 |
Provider Name | Scott M Dembiec |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619178159 PECOS PAC ID: 1557415189 Enrollment ID: I20090818000016 |
Provider Name | Michael Jones |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1972523991 PECOS PAC ID: 2668527961 Enrollment ID: I20090910000502 |
Provider Name | Jolie Chance |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174754832 PECOS PAC ID: 2961544705 Enrollment ID: I20100118000002 |
Provider Name | Dennis R Drews |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972614519 PECOS PAC ID: 6800819921 Enrollment ID: I20100521000753 |
Provider Name | Michael G Francis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801951470 PECOS PAC ID: 9032249198 Enrollment ID: I20100616000444 |
Provider Name | Todd A Stastny |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316002975 PECOS PAC ID: 1254373632 Enrollment ID: I20100616000476 |
Provider Name | Robin L Murphy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154317972 PECOS PAC ID: 7012033293 Enrollment ID: I20100924000687 |
Provider Name | Terry L Thrasher |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962492223 PECOS PAC ID: 9830150325 Enrollment ID: I20101102001518 |
Provider Name | Catherine M Vanvoorn |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720054448 PECOS PAC ID: 7719171552 Enrollment ID: I20101105000041 |
Provider Name | Kathleen Q Tang Beltran |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750552477 PECOS PAC ID: 5799974291 Enrollment ID: I20110114000339 |
Provider Name | Jennifer L Troyer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477852622 PECOS PAC ID: 1850577172 Enrollment ID: I20110520000080 |
Provider Name | Cameron Smith |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871731133 PECOS PAC ID: 3072777275 Enrollment ID: I20120620000366 |
Provider Name | Cole Spresser |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801027743 PECOS PAC ID: 2365607850 Enrollment ID: I20120709000176 |
Provider Name | Anita R West |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366705121 PECOS PAC ID: 5193972529 Enrollment ID: I20120820001075 |
Provider Name | Jonathan R Beers |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477783686 PECOS PAC ID: 0244419851 Enrollment ID: I20121024000407 |
Provider Name | Janessa Watson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134494750 PECOS PAC ID: 7214171701 Enrollment ID: I20130924000340 |
Provider Name | Benjamin Reine |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922373935 PECOS PAC ID: 6305075805 Enrollment ID: I20140203001472 |
Provider Name | Stephanie M Garcia |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396974408 PECOS PAC ID: 8325287873 Enrollment ID: I20140321000315 |
Provider Name | Jessica N Lee |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1811284607 PECOS PAC ID: 2668698200 Enrollment ID: I20140717000437 |
Provider Name | Amanda Gillespie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477942092 PECOS PAC ID: 9638494537 Enrollment ID: I20150218000790 |
Provider Name | Kimberly H Harsy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437555653 PECOS PAC ID: 7113247651 Enrollment ID: I20150522001371 |
Provider Name | Gretchen M Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891182267 PECOS PAC ID: 9830419399 Enrollment ID: I20150522001768 |
Provider Name | Christine Hunt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801253885 PECOS PAC ID: 3375847163 Enrollment ID: I20160216000586 |
Provider Name | Ashlee S Sutherland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710353313 PECOS PAC ID: 1557666161 Enrollment ID: I20160219000103 |
Provider Name | Cherrie Termulo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710117296 PECOS PAC ID: 9739335498 Enrollment ID: I20160331000890 |
Provider Name | Stephanie White |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356703896 PECOS PAC ID: 8224335534 Enrollment ID: I20160401000043 |
Provider Name | Chunmei Xie |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205278306 PECOS PAC ID: 6608197744 Enrollment ID: I20160401000380 |
Provider Name | Charie Stoffel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336501410 PECOS PAC ID: 1557660412 Enrollment ID: I20160427000560 |
Provider Name | Heather S Anderson |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1902903586 PECOS PAC ID: 9830127687 Enrollment ID: I20160823000836 |
Provider Name | Steven Michael Cicero |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407211873 PECOS PAC ID: 2860782497 Enrollment ID: I20161221000266 |
Provider Name | Shenif Ladak |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1376948604 PECOS PAC ID: 5890018501 Enrollment ID: I20170324001327 |
Provider Name | Mikala Lodder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811443070 PECOS PAC ID: 3072895200 Enrollment ID: I20170717000725 |
Provider Name | Alexandra A Roman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912324807 PECOS PAC ID: 0840593216 Enrollment ID: I20170912000081 |
Provider Name | Yuriko Mcallister |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407390255 PECOS PAC ID: 5092088161 Enrollment ID: I20170912001868 |
Provider Name | Jennifer Radcliff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811405525 PECOS PAC ID: 4789946021 Enrollment ID: I20180326000880 |
Provider Name | Maci Louise Estes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215432067 PECOS PAC ID: 8527321421 Enrollment ID: I20180405001897 |
Provider Name | Kristy D Herndon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346756525 PECOS PAC ID: 9436412368 Enrollment ID: I20180406000573 |
Provider Name | Sasha Caron Koch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902308232 PECOS PAC ID: 3173870375 Enrollment ID: I20180719000185 |
Provider Name | Rachel Beth Mason |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619105467 PECOS PAC ID: 6901032275 Enrollment ID: I20181015000644 |
Provider Name | Lauren Ann Mistler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003303124 PECOS PAC ID: 5496009102 Enrollment ID: I20181115002776 |
Provider Name | Molly T Uribe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760980866 PECOS PAC ID: 1052674298 Enrollment ID: I20181121001716 |
Provider Name | Richard Wangungu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033687785 PECOS PAC ID: 4587900303 Enrollment ID: I20190115001622 |
Provider Name | Jay D Stevens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619446812 PECOS PAC ID: 5991042293 Enrollment ID: I20190124001630 |
Provider Name | Samantha L. Mcfarland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013484393 PECOS PAC ID: 1658612551 Enrollment ID: I20190402002066 |
Provider Name | Angela L Glenn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407314990 PECOS PAC ID: 8628301348 Enrollment ID: I20190612002814 |
Provider Name | Ruth Seeley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295392421 PECOS PAC ID: 3779818737 Enrollment ID: I20190712001055 |
Provider Name | Jenelle Pearson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013499235 PECOS PAC ID: 7719225978 Enrollment ID: I20190712001228 |
Provider Name | Mei Suen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811559644 PECOS PAC ID: 5698001568 Enrollment ID: I20190730003669 |
Provider Name | Eric Roychowdhury |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235513466 PECOS PAC ID: 5890001192 Enrollment ID: I20190806003412 |
Provider Name | Nicole Mandacina |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629621941 PECOS PAC ID: 9335478783 Enrollment ID: I20190910001517 |
Provider Name | Tommi Jean Alcorn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538717871 PECOS PAC ID: 7719218759 Enrollment ID: I20191007000780 |
Provider Name | Emily Wiese |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700437183 PECOS PAC ID: 0547696676 Enrollment ID: I20200207001210 |
Provider Name | Michele Duckett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427698224 PECOS PAC ID: 6507293636 Enrollment ID: I20200229000179 |
Provider Name | Bamidele Ganiyu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073155933 PECOS PAC ID: 1153759394 Enrollment ID: I20200320002762 |
Provider Name | Eleanor Combs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093347221 PECOS PAC ID: 1456789619 Enrollment ID: I20200322000179 |
Provider Name | Stephnie Michelle Stonecipher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497391924 PECOS PAC ID: 9234550385 Enrollment ID: I20200528001740 |
Provider Name | Susan Eileen Fessler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104454057 PECOS PAC ID: 1759706039 Enrollment ID: I20200804000362 |
Provider Name | Amara Sluder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255958369 PECOS PAC ID: 2769893825 Enrollment ID: I20201120000237 |
Provider Name | Trisha Ann Janis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235756842 PECOS PAC ID: 1456762947 Enrollment ID: I20201207000432 |
Provider Name | Christina Cheng |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194179747 PECOS PAC ID: 0244527067 Enrollment ID: I20201222002403 |
Provider Name | Laura D Boyer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699374108 PECOS PAC ID: 1355754565 Enrollment ID: I20210107002033 |
Provider Name | Chante Campbell-nixon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649868738 PECOS PAC ID: 7416361126 Enrollment ID: I20210120002145 |
Provider Name | Courtney Jack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336740620 PECOS PAC ID: 8820403249 Enrollment ID: I20210625002463 |
Provider Name | Gabriel V Skiba |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184286510 PECOS PAC ID: 4183012032 Enrollment ID: I20211026000598 |
Provider Name | Courtney Roberts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235891789 PECOS PAC ID: 5890185110 Enrollment ID: I20211201000127 |
Provider Name | Heather Nicole Todd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366106163 PECOS PAC ID: 7719377761 Enrollment ID: I20211206001203 |
Provider Name | Susan Lynn Testerman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659958502 PECOS PAC ID: 5799176889 Enrollment ID: I20211228001517 |
Provider Name | Leonard Pittala |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1750351888 PECOS PAC ID: 8527459510 Enrollment ID: I20211230000928 |
Provider Name | Stacy Clarke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114508298 PECOS PAC ID: 8820489545 Enrollment ID: I20220106000847 |
Provider Name | Kristie L Moser |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528710266 PECOS PAC ID: 5597158477 Enrollment ID: I20220217001620 |
Provider Name | Jessica M Flynn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780346569 PECOS PAC ID: 8123412012 Enrollment ID: I20220217002398 |
Provider Name | Emilee M Hoover |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427702729 PECOS PAC ID: 4284020496 Enrollment ID: I20220414001925 |
Provider Name | Emily Gibson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861928061 PECOS PAC ID: 5991077745 Enrollment ID: I20220506001101 |
Provider Name | Marie Taboada |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013581917 PECOS PAC ID: 5991184871 Enrollment ID: I20220623001399 |
Provider Name | Amy Thomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851912257 PECOS PAC ID: 0840614657 Enrollment ID: I20220719000167 |
Provider Name | William Bernard Beachum Iii |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932827169 PECOS PAC ID: 0143606087 Enrollment ID: I20220930000278 |
Provider Name | Jaimee Norton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972230282 PECOS PAC ID: 5991171811 Enrollment ID: I20221018002809 |
Provider Name | Ashlee Diane Brattin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518695980 PECOS PAC ID: 2668840463 Enrollment ID: I20221129002411 |
Provider Name | Caroline Martin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346627049 PECOS PAC ID: 7911298310 Enrollment ID: I20230126000985 |
Provider Name | Kaitlynn Mckay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124772546 PECOS PAC ID: 5890182901 Enrollment ID: I20230216002236 |
Provider Name | Kenyada J Gilbert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386200442 PECOS PAC ID: 4284006099 Enrollment ID: I20230216002696 |
Provider Name | Teresa Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780393116 PECOS PAC ID: 8426416371 Enrollment ID: I20230628002553 |
Provider Name | Allyson Victoria Lynn Braymer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497435432 PECOS PAC ID: 1658733555 Enrollment ID: I20230809001880 |
Provider Name | Kallie Bateman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881311512 PECOS PAC ID: 7719340520 Enrollment ID: I20230828000711 |
Provider Name | Morgan Sutton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891423240 PECOS PAC ID: 8426431792 Enrollment ID: I20231117000481 |
Provider Name | Krystle Dawn Messer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467220681 PECOS PAC ID: 9537519921 Enrollment ID: I20231227002633 |
Provider Name | Jillaine Ruppel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780816520 PECOS PAC ID: 9931255106 Enrollment ID: I20240123004270 |
Provider Name | Ashley Henry |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1538542642 PECOS PAC ID: 6305173279 Enrollment ID: I20240401001621 |
Provider Name | Molly Jo Rozier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366202673 PECOS PAC ID: 1658719687 Enrollment ID: I20240409004478 |
Provider Name | Krista Pritchard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780203075 PECOS PAC ID: 7315343571 Enrollment ID: I20240618001796 |
Provider Name | Sarah Hugo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154587517 PECOS PAC ID: 0446305312 Enrollment ID: I20240730002813 |
Provider Name | Bridget Nore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306508262 PECOS PAC ID: 8426447988 Enrollment ID: I20240823001924 |
Provider Name | Cristele Tchokouani Yamdjeu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235962713 PECOS PAC ID: 0648710830 Enrollment ID: I20240914000654 |
Provider Name | Audrianna Sparks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245766294 PECOS PAC ID: 1355615626 Enrollment ID: I20240930001692 |
Provider Name | Mandy Barton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497463756 PECOS PAC ID: 3173996493 Enrollment ID: I20241002002629 |
Provider Name | Brian Whyms |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821440066 PECOS PAC ID: 2365736378 Enrollment ID: I20241119002076 |
Provider Name | Elli Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750822524 PECOS PAC ID: 9436426608 Enrollment ID: I20241210003150 |
Herb Hall Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 258 Ne Tudor Rd, Lees Summit, MO 64086 Phone: 816-525-8086 | |
Lees Summit Center For Womens Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3600 Ne Ralph Powell Rd, Suite A, Lees Summit, MO 64064 Phone: 816-888-5200 Fax: 816-888-5210 | |
Men's Healthlink Of Kansas City, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3600 Ne Ralph Powell Rd, Suite C, Lees Summit, MO 64064 Phone: 816-875-1105 Fax: 816-875-1103 | |
Summit Geriatrics Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Ne Missouri Rd Ste 200, Lees Summit, MO 64086 Phone: 913-271-8676 Fax: 888-856-3199 | |
Hearts With Hands Eldercare Physicians Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Nw Pryor Rd, Lees Summit, MO 64081 Phone: 888-362-3537 Fax: 888-362-3537 | |
Lee's Summit Physicians Group - Internal Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1425 Nw Blue Pkwy, Lees Summit, MO 64086 Phone: 816-524-3223 | |
Dr. Herbert E. Dempsey Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 801 Ne Anderson Ln, Lees Summit, MO 64064 Phone: 816-875-4322 Fax: 833-973-0968 |