Digestive Health Specialists, Llc | |
3800 S Whitney Ave Suite 200 Independence MO 64055-6739 | |
(816) 478-4887 | |
(816) 478-7222 |
Full Name | Digestive Health Specialists, Llc |
---|---|
Speciality | Internal Medicine |
Location | 3800 S Whitney Ave, Independence, Missouri |
Authorized Official Name and Position | Andrea L Wyatt (CEO) |
Authorized Official Contact | 8164784887 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Digestive Health Specialists, Llc 17501 E 40 Hwy Suite 213a Independence MO 64055-5442 Ph: (816) 478-4887 | Digestive Health Specialists, Llc 3800 S Whitney Ave Suite 200 Independence MO 64055-6739 Ph: (816) 478-4887 |
NPI Number | 1801286844 |
---|---|
Provider Enumeration Date | 01/29/2015 |
Last Update Date | 02/20/2017 |
Medicare PECOS PAC ID | 9739494832 |
---|---|
Medicare Enrollment ID | O20150819006984 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801286844 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Mary E Colyer |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1932197480 PECOS PAC ID: 6103738323 Enrollment ID: I20031105000160 |
Provider Name | Shelly L Hotalling |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1659394559 PECOS PAC ID: 1052214970 Enrollment ID: I20040129000080 |
Provider Name | Johnna Lynn Bodenstab |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619968070 PECOS PAC ID: 2264326313 Enrollment ID: I20040210001125 |
Provider Name | Kenneth Jude Conde |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1033126172 PECOS PAC ID: 2860389061 Enrollment ID: I20040302001108 |
Provider Name | Kelly Gordon |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1063495711 PECOS PAC ID: 6305748989 Enrollment ID: I20040302001164 |
Provider Name | Deborah M Pelch |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1164535126 PECOS PAC ID: 5597657064 Enrollment ID: I20040329000724 |
Provider Name | Marie C Floretta |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1336115369 PECOS PAC ID: 3870571607 Enrollment ID: I20040709000058 |
Provider Name | Sara O'connor |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1831190073 PECOS PAC ID: 7517947997 Enrollment ID: I20040726000229 |
Provider Name | Julie Roach |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1023009545 PECOS PAC ID: 9739159062 Enrollment ID: I20040726001357 |
Provider Name | Russell Wade Mccullough |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1346223468 PECOS PAC ID: 1052386851 Enrollment ID: I20040826000360 |
Provider Name | Yan Chen |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1184627101 PECOS PAC ID: 1254306749 Enrollment ID: I20040828000012 |
Provider Name | Christi Michelle Huguet |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1033215363 PECOS PAC ID: 7113993981 Enrollment ID: I20040903000155 |
Provider Name | Gregory M Vardakis |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1841296274 PECOS PAC ID: 1759357528 Enrollment ID: I20040904000093 |
Provider Name | John M Swift |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1902906498 PECOS PAC ID: 9638139827 Enrollment ID: I20041012001392 |
Provider Name | Cindy Goe |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1346229374 PECOS PAC ID: 7618922576 Enrollment ID: I20050314001098 |
Provider Name | Dennis Mike Mcdonough |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1811945405 PECOS PAC ID: 6305884347 Enrollment ID: I20050420001101 |
Provider Name | Gregory A Schnell |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1609835818 PECOS PAC ID: 8123062841 Enrollment ID: I20050614000714 |
Provider Name | Christopher R Bartalos |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1720076607 PECOS PAC ID: 8426092743 Enrollment ID: I20050616000749 |
Provider Name | Amy A Waller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255358875 PECOS PAC ID: 4183657281 Enrollment ID: I20051026001101 |
Provider Name | Rachael Shepard |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1952361826 PECOS PAC ID: 6709890205 Enrollment ID: I20060206000093 |
Provider Name | Joseph B Eisenach |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1669475679 PECOS PAC ID: 9436188836 Enrollment ID: I20060228000620 |
Provider Name | Karen S Parker |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1790769909 PECOS PAC ID: 2769426683 Enrollment ID: I20061017000555 |
Provider Name | Jean M Covillo |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1003898453 PECOS PAC ID: 7618876475 Enrollment ID: I20061017000565 |
Provider Name | Victor J Quintero |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1386627388 PECOS PAC ID: 2961494869 Enrollment ID: I20061017000573 |
Provider Name | Christine E Bruegenhemke |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1770541310 PECOS PAC ID: 0648277327 Enrollment ID: I20061024000074 |
Provider Name | Frank J Totta |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1881677938 PECOS PAC ID: 1254365349 Enrollment ID: I20070228000084 |
Provider Name | Bethany Peasley |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1992851299 PECOS PAC ID: 3072616499 Enrollment ID: I20070305000676 |
Provider Name | Rita Margaret Poce |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1619949393 PECOS PAC ID: 1052382298 Enrollment ID: I20070322000566 |
Provider Name | Larry D Lawson |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1831188002 PECOS PAC ID: 2567567829 Enrollment ID: I20070414000047 |
Provider Name | Sarah L Sedlacek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295855351 PECOS PAC ID: 7214033406 Enrollment ID: I20070504000115 |
Provider Name | Marlene F Bailey |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1093782989 PECOS PAC ID: 6800999566 Enrollment ID: I20070605000583 |
Provider Name | Marylynne Lucido |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952354995 PECOS PAC ID: 9931103215 Enrollment ID: I20070615000313 |
Provider Name | Ann M Welty |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1679549943 PECOS PAC ID: 6507761889 Enrollment ID: I20070810000465 |
Provider Name | Francis P Mc Cormick |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1427061654 PECOS PAC ID: 6002713302 Enrollment ID: I20070822000242 |
Provider Name | Jennifer Schwarz |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1225050339 PECOS PAC ID: 1355438987 Enrollment ID: I20071030000271 |
Provider Name | Brandi E Huffstutter |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1891999249 PECOS PAC ID: 2961593009 Enrollment ID: I20080422000287 |
Provider Name | Theresa R Maxwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780887109 PECOS PAC ID: 7911071766 Enrollment ID: I20080729000078 |
Provider Name | Cassandra Decker |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1821268103 PECOS PAC ID: 7113092107 Enrollment ID: I20080827000106 |
Provider Name | Tami S Sasek-waite |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1629045414 PECOS PAC ID: 6901995745 Enrollment ID: I20080929000722 |
Provider Name | Vikki L Gambrill |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1255308292 PECOS PAC ID: 9234023953 Enrollment ID: I20081124000077 |
Provider Name | Russell L Benson |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1427011998 PECOS PAC ID: 3779563523 Enrollment ID: I20090128000169 |
Provider Name | Aman K Singh |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1548237845 PECOS PAC ID: 3971531088 Enrollment ID: I20090617000116 |
Provider Name | Diane L Oakland |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1679777197 PECOS PAC ID: 0749372647 Enrollment ID: I20090813000701 |
Provider Name | Andrea J Parsons |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1154441236 PECOS PAC ID: 7113073883 Enrollment ID: I20090922000241 |
Provider Name | Jacqueline Sheehan |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1003999855 PECOS PAC ID: 4688726870 Enrollment ID: I20090924000111 |
Provider Name | Jamie L Garrett |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1982832424 PECOS PAC ID: 7618013673 Enrollment ID: I20091005000356 |
Provider Name | Thomas J Shireman |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1568465417 PECOS PAC ID: 8325077720 Enrollment ID: I20100306000083 |
Provider Name | Syed M Khalid |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1770586638 PECOS PAC ID: 1153350558 Enrollment ID: I20100306000115 |
Provider Name | Donald J Clement |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1336142348 PECOS PAC ID: 1456380856 Enrollment ID: I20100306000135 |
Provider Name | Thomas F Jones |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1740283753 PECOS PAC ID: 4880623289 Enrollment ID: I20100306000160 |
Provider Name | Dale H Wytock |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1518960467 PECOS PAC ID: 1052340452 Enrollment ID: I20100306000189 |
Provider Name | Jonathan P Horwitz |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1003895749 PECOS PAC ID: 6204869951 Enrollment ID: I20100614000522 |
Provider Name | Witoon Ruamwijitphong |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1063742633 PECOS PAC ID: 8325179013 Enrollment ID: I20100624000195 |
Provider Name | Leonard Biener Weinstock |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1467566703 PECOS PAC ID: 8224085105 Enrollment ID: I20100625000296 |
Provider Name | Erik P Thyssen |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1750495099 PECOS PAC ID: 9133176019 Enrollment ID: I20100629000556 |
Provider Name | Robert N Fisher |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1245313873 PECOS PAC ID: 4587798830 Enrollment ID: I20100823000372 |
Provider Name | Scott Ernest Mcguire |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1023032414 PECOS PAC ID: 9638294234 Enrollment ID: I20100920001092 |
Provider Name | Brent Everett Shields |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1740575232 PECOS PAC ID: 5395923015 Enrollment ID: I20110629000156 |
Provider Name | Julie M Camp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891018792 PECOS PAC ID: 6800064817 Enrollment ID: I20110719000124 |
Provider Name | Todd W Kilgore |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1346342292 PECOS PAC ID: 2163690678 Enrollment ID: I20110727000149 |
Provider Name | Vadsana K Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669540357 PECOS PAC ID: 7810161015 Enrollment ID: I20111128000834 |
Provider Name | Paula E Gough |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1144582644 PECOS PAC ID: 7911156203 Enrollment ID: I20121002000110 |
Provider Name | Mallory M Grassmuck |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1992066351 PECOS PAC ID: 4284889544 Enrollment ID: I20130313000100 |
Provider Name | Angela T Strecker |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1831353010 PECOS PAC ID: 5092881037 Enrollment ID: I20130318000151 |
Provider Name | Adrienne Nguyen |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1376635219 PECOS PAC ID: 5092751743 Enrollment ID: I20130426000117 |
Provider Name | Amanda M Tucker |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1093058224 PECOS PAC ID: 2264676196 Enrollment ID: I20130916000665 |
Provider Name | Kristi L Ott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184743650 PECOS PAC ID: 7517064660 Enrollment ID: I20131112000617 |
Provider Name | Caroline Grow |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1366865180 PECOS PAC ID: 8325278807 Enrollment ID: I20140228001472 |
Provider Name | Nisar F Syed Power |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1801218235 PECOS PAC ID: 3375774698 Enrollment ID: I20140328001562 |
Provider Name | Lyndsy Renee Morton |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1477963023 PECOS PAC ID: 2567688518 Enrollment ID: I20140728001427 |
Provider Name | Kellie R Simecek |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1326459926 PECOS PAC ID: 2860610789 Enrollment ID: I20140905001056 |
Provider Name | Earl J Williams |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1851363238 PECOS PAC ID: 3870537509 Enrollment ID: I20141211001124 |
Provider Name | Elizabeth A Hughett |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1326438987 PECOS PAC ID: 5597082230 Enrollment ID: I20150318000424 |
Provider Name | Shanna L Tuttle |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1942697941 PECOS PAC ID: 2860705225 Enrollment ID: I20150715000207 |
Provider Name | Melanie A Cejka |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1578940250 PECOS PAC ID: 0840504650 Enrollment ID: I20150806010410 |
Provider Name | Tia M Francisco |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1306287867 PECOS PAC ID: 7810124567 Enrollment ID: I20151027001149 |
Provider Name | Vanessa R Jackson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1104200930 PECOS PAC ID: 6204134869 Enrollment ID: I20160620000114 |
Provider Name | Matthew Sean Donegan |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1497086789 PECOS PAC ID: 7618009655 Enrollment ID: I20160620000495 |
Provider Name | Andrea Coats |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1780036350 PECOS PAC ID: 7810289840 Enrollment ID: I20160712000540 |
Provider Name | Leslie N Mcguire |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1629466248 PECOS PAC ID: 2668799222 Enrollment ID: I20160722000360 |
Provider Name | Diane K Murphy |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1497103048 PECOS PAC ID: 1456648302 Enrollment ID: I20160921001548 |
Provider Name | Melissa Susanne Cook |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801346564 PECOS PAC ID: 0042508467 Enrollment ID: I20170111000706 |
Provider Name | Kenna O'sullivan |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1891220281 PECOS PAC ID: 2961772850 Enrollment ID: I20170726000780 |
Provider Name | Stephanie R Dilley |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1083149462 PECOS PAC ID: 8224300652 Enrollment ID: I20170821001166 |
Provider Name | Brett L Cikanek |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1174873202 PECOS PAC ID: 6507016045 Enrollment ID: I20170915002933 |
Provider Name | Andrea L Gray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316360803 PECOS PAC ID: 7113283052 Enrollment ID: I20171109002666 |
Provider Name | Erica M Mcdonald |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1922465046 PECOS PAC ID: 1456656222 Enrollment ID: I20180130001880 |
Provider Name | Pegah V Harlan |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1821239922 PECOS PAC ID: 3971780941 Enrollment ID: I20180326000639 |
Provider Name | Darlene Clarice Miller |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1124054028 PECOS PAC ID: 1456241223 Enrollment ID: I20180517002584 |
Provider Name | Albert J Giambrone |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1194790956 PECOS PAC ID: 2769429356 Enrollment ID: I20180521001634 |
Provider Name | Benjamin R Alsop |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1063674596 PECOS PAC ID: 1355510785 Enrollment ID: I20180712001837 |
Provider Name | Ryan B Utarnachitt |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1659545796 PECOS PAC ID: 3870661507 Enrollment ID: I20180730002646 |
Provider Name | Shaun Mceuen |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1568825891 PECOS PAC ID: 0446559686 Enrollment ID: I20180816001345 |
Provider Name | Nikhil Banerjee |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1932424850 PECOS PAC ID: 0648561886 Enrollment ID: I20180817001206 |
Provider Name | Laura M Lee |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1013369727 PECOS PAC ID: 1254628852 Enrollment ID: I20181019001543 |
Provider Name | Christine Ely |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1689917734 PECOS PAC ID: 8022251305 Enrollment ID: I20181120002605 |
Provider Name | Andrea Rosewell |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1356784508 PECOS PAC ID: 4082857743 Enrollment ID: I20181129001350 |
Provider Name | Keaton Alan Mishler |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1306370101 PECOS PAC ID: 2062782105 Enrollment ID: I20181217002682 |
Provider Name | Monty R John |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1023088747 PECOS PAC ID: 6507821733 Enrollment ID: I20190314001447 |
Provider Name | Daniel P Ondracek |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1508973421 PECOS PAC ID: 7012951718 Enrollment ID: I20190327002915 |
Provider Name | Samuel W Schowengerdt |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1114285947 PECOS PAC ID: 5799908992 Enrollment ID: I20190724002468 |
Provider Name | Jessica Lynn Talley |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1538723994 PECOS PAC ID: 3577890201 Enrollment ID: I20190802002764 |
Provider Name | Kelsey L Able |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1376806588 PECOS PAC ID: 9638482680 Enrollment ID: I20190806003777 |
Provider Name | Samantha H Mcdonnell |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1386107092 PECOS PAC ID: 4688901879 Enrollment ID: I20190812000290 |
Provider Name | Kimberly K Van Gundy |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1528037074 PECOS PAC ID: 5799753042 Enrollment ID: I20191206002549 |
Provider Name | Holly C Stubbs |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1194062471 PECOS PAC ID: 9335385608 Enrollment ID: I20191231001450 |
Provider Name | Matthew P Tucker |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1285106450 PECOS PAC ID: 6103153606 Enrollment ID: I20200107002424 |
Provider Name | Michael J Mcelroy |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1275178105 PECOS PAC ID: 2163857269 Enrollment ID: I20200118000111 |
Provider Name | Nicole M Sayed |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1629560321 PECOS PAC ID: 2961740493 Enrollment ID: I20200527001954 |
Provider Name | Sean P Doran |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1871911149 PECOS PAC ID: 2860795325 Enrollment ID: I20200728000221 |
Provider Name | Mark A Randtke |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1184183436 PECOS PAC ID: 5799017059 Enrollment ID: I20200901001618 |
Provider Name | Carrie Brown |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1972168516 PECOS PAC ID: 2769800184 Enrollment ID: I20200917001207 |
Provider Name | Taylor R Ellis |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1275144156 PECOS PAC ID: 2961822093 Enrollment ID: I20210423001760 |
Provider Name | Benjamin Zimmerman Root |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1619355765 PECOS PAC ID: 2860801149 Enrollment ID: I20210518000787 |
Provider Name | Jana K Soule |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023771771 PECOS PAC ID: 0749670529 Enrollment ID: I20211209002695 |
Provider Name | Emily R Mcclanahan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952066672 PECOS PAC ID: 0143611681 Enrollment ID: I20211217000445 |
Provider Name | Adam M Tritsch |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1811276934 PECOS PAC ID: 9133371172 Enrollment ID: I20220405000540 |
Provider Name | Kristina Lee Holecek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962170712 PECOS PAC ID: 7416334800 Enrollment ID: I20220525000686 |
Provider Name | Ulrich Waldenmeyer |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1538827928 PECOS PAC ID: 8022401942 Enrollment ID: I20221013001900 |
Provider Name | Pibi Jean Bouda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235836982 PECOS PAC ID: 2163896689 Enrollment ID: I20230324000933 |
Amky Health Medical Specialists Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19600 E 39th St S, Independence, MO 64057 Phone: 678-982-3590 Fax: 314-738-2088 | |
Noland Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 S Noland Rd, Suite 130, Independence, MO 64050 Phone: 816-254-1781 Fax: 816-254-2182 | |
Medbasics Missouri Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4201 S Noland Rd, Independence, MO 64055 Phone: 816-373-9901 Fax: 816-373-9905 | |
Independence Group Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19045 E Valley View Pkwy Ste G, Independence, MO 64055 Phone: 281-429-8526 | |
Swope Health East Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17844 East 23rd Street, Independence, MO 64057 Phone: 816-922-1000 | |
P&c Healthcare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19600 E 39th St S, Independence, MO 64057 Phone: 913-222-9779 | |
Jackson County Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17221 E 23rd St S, Suite 100, Independence, MO 64057 Phone: 816-350-0005 |