| Jackson County Gastroenterology Pc | |
|
206 Nw Mock Ave Suite 100 Blue Springs MO 64014-2507 | |
| (816) 229-1191 | |
| (816) 229-1198 |
| Full Name | Jackson County Gastroenterology Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 206 Nw Mock Ave, Blue Springs, Missouri |
| Authorized Official Name and Position | Gregory M Vardakis (OWNER) |
| Authorized Official Contact | 8162291191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson County Gastroenterology Pc Po Box 412622 Kansas City MO 64141-2622 Ph: (816) 229-1191 | Jackson County Gastroenterology Pc 206 Nw Mock Ave Suite 100 Blue Springs MO 64014-2507 Ph: (816) 229-1191 |
| NPI Number | 1386699718 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 12/31/2009 |
| Medicare PECOS PAC ID | 7012983877 |
|---|---|
| Medicare Enrollment ID | O20040903000071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386699718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Gregory M Vardakis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841296274 PECOS PAC ID: 1759357528 Enrollment ID: I20040904000093 |
| Provider Name | Farid Mehdizadeh Namin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770546483 PECOS PAC ID: 4183635121 Enrollment ID: I20060505000416 |
| Provider Name | Muhammed K Banday |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790071074 PECOS PAC ID: 8224260096 Enrollment ID: I20150730011302 |
| Provider Name | Kristyn K Thorpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770128688 PECOS PAC ID: 8224463765 Enrollment ID: I20200110001379 |
| Provider Name | Florence M Hosseini Aslinia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972611994 PECOS PAC ID: 8729023783 Enrollment ID: I20221021000584 |
| Provider Name | Shelly Ann House |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699472068 PECOS PAC ID: 2860867462 Enrollment ID: I20230523001285 |
| Provider Name | Edwin Mirzabeigi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184865404 PECOS PAC ID: 6709063472 Enrollment ID: I20240228000537 |
Carondelet Physician Services Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Nw Rd Mize Rd, Suite 101, Blue Springs, MO 64014 Phone: 816-228-9841 Fax: 816-228-1514 | |
Cockerell & Mcintosh Pediatrics Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Nw Rd Mize Rd, Suite 304, Blue Springs, MO 64014 Phone: 816-228-4770 Fax: 816-228-1156 | |
Cooperating Plan Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Nw Jefferson St, Blue Springs, MO 64015 Phone: 816-224-1740 Fax: 816-224-1364 | |
Samuel U. Rodgers Health Center Blue Springs School District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1501 Nw Jefferson St, Blue Springs, MO 64015 Phone: 816-224-1740 | |
Cmc Comprehensive Care Blue Springs Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1131 W Main St Ste F, Blue Springs, MO 64015 Phone: 816-229-1941 Fax: 816-229-7085 | |
Family Care Of E. Jackson County Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 725 Nw State Route 7 Ste B, Blue Springs, MO 64014 Phone: 816-229-8187 | |
Moberly Area Osteopathic Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3308 Thornbird St, Blue Springs, MO 64015 Phone: 816-588-3420 Fax: 816-988-8333 |