|
| |
|
400 E Red Bridge Rd Ste 207 Kansas City MO 64131-4030 | |
| (913) 681-2398 | |
| (913) 681-2416 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 E Red Bridge Rd Ste 207, Kansas City, Missouri |
| Authorized Official Name and Position | Dimitri Golfinopoulos (DIRECTOR) |
| Authorized Official Contact | 9136812398 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
400 E Red Bridge Rd Ste 207 Kansas City MO 64131-4030 Ph: (913) 681-2398 | 400 E Red Bridge Rd Ste 207 Kansas City MO 64131-4030 Ph: (913) 681-2398 |
| NPI Number | 1740320829 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 10/21/2021 |
| Medicare PECOS PAC ID | 0143126292 |
|---|---|
| Medicare Enrollment ID | O20031209001008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740320829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 05-28058 (Kansas) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Dimitri Golfinopoulos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558380576 PECOS PAC ID: 4284530338 Enrollment ID: I20031216000828 |
| Provider Name | Veronica L Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255758801 PECOS PAC ID: 7113159310 Enrollment ID: I20140422000223 |
| Provider Name | Joshua Herbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194267161 PECOS PAC ID: 4587944525 Enrollment ID: I20161208000211 |
| Provider Name | Paul John Joy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194303339 PECOS PAC ID: 8123412657 Enrollment ID: I20220228001205 |
| Provider Name | Bristol W Seymour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679301402 PECOS PAC ID: 5597203174 Enrollment ID: I20240814000893 |
Plaza Primary Care And Geriatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4440 Broadway, Kansas City, MO 64111 Phone: 816-561-9200 Fax: 816-561-5766 | |
Elevating Care Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2340 E. Meyer Blvd, 208, Kansas City, MO 64132 Phone: 816-665-6124 | |
Afya Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2319 E 12th St, Kansas City, MO 64127 Phone: 816-824-7219 | |
Gateway Spine And Joint Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 W 47th St Ste 514, Kansas City, MO 64112 Phone: 816-216-7054 Fax: 816-216-6010 | |
Midwest Neurosurgery Associates, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6420 Prospect Ave, Suite T411, Kansas City, MO 64132 Phone: 816-363-2500 Fax: 816-363-8741 | |
James E Gracheck, D O P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 W 72nd St, Kansas City, MO 64114 Phone: 816-444-0025 Fax: 816-444-0007 |