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 |
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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 |
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Provider Enumeration Date | 02/09/2023 |
Last Update Date | 04/09/2024 |
Medicare PECOS PAC ID | 0345614459 |
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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 |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912015389 PECOS PAC ID: 0840281960 Enrollment ID: I20040519000189 |
Provider Name | Patricia E Caplinger |
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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 | Paul Matthew Doskey |
---|---|
Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1831202704 PECOS PAC ID: 8729020342 Enrollment ID: I20050525000899 |
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 | Kristi K Shaumeyer |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245452895 PECOS PAC ID: 4183793318 Enrollment ID: I20080514000497 |
Provider Name | Nancy A Squire |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679592414 PECOS PAC ID: 0042376188 Enrollment ID: I20090225000664 |
Provider Name | Emily S Worthington |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841432150 PECOS PAC ID: 2860545779 Enrollment ID: I20090724000357 |
Provider Name | Jolie Chance |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174754832 PECOS PAC ID: 2961544705 Enrollment ID: I20100118000002 |
Provider Name | Michael G Francis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801951470 PECOS PAC ID: 9032249198 Enrollment ID: I20100616000444 |
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 | 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 | 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 | Stephanie White |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356703896 PECOS PAC ID: 8224335534 Enrollment ID: I20160401000043 |
Provider Name | Heather S Anderson |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1902903586 PECOS PAC ID: 9830127687 Enrollment ID: I20160823000836 |
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 | 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 | 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 | 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 | 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 | 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 | Eleanor Combs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093347221 PECOS PAC ID: 1456789619 Enrollment ID: I20200322000179 |
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 | 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 | Stacy Clarke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114508298 PECOS PAC ID: 8820489545 Enrollment ID: I20220106000847 |
Provider Name | Emilee M Hoover |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427702729 PECOS PAC ID: 4284020496 Enrollment ID: I20220414001925 |
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 | 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 Gilbert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386200442 PECOS PAC ID: 4284006099 Enrollment ID: I20230216002696 |
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 | Morgan Sutton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891423240 PECOS PAC ID: 8426431792 Enrollment ID: I20231117000481 |
Provider Name | Jillaine Ruppel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780816520 PECOS PAC ID: 9931255106 Enrollment ID: I20240123004270 |
Provider Name | Molly Jo Rozier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366202673 PECOS PAC ID: 1658719687 Enrollment ID: I20240409004478 |
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: Not Enrolled in Medicare Practice Location: 801 Ne Anderson Ln, Lees Summit, MO 64064 Phone: 816-875-4322 Fax: 833-973-0968 |