Kansas Medical Professionals Llc | |
9100 W 74th St Shawnee Mission KS 66204-4004 | |
(913) 676-2000 | |
Not Available |
Full Name | Kansas Medical Professionals Llc |
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Speciality | Internal Medicine |
Location | 9100 W 74th St, Shawnee Mission, Kansas |
Authorized Official Name and Position | Brett R Hailey (PRESIDENT) |
Authorized Official Contact | 9136762214 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kansas Medical Professionals Llc 6300 Ridglea Pl Ste 201 Fort Worth TX 76116-5707 Ph: (817) 451-4208 | Kansas Medical Professionals Llc 9100 W 74th St Shawnee Mission KS 66204-4004 Ph: (913) 676-2000 |
NPI Number | 1629778766 |
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Provider Enumeration Date | 03/07/2023 |
Last Update Date | 07/10/2023 |
Medicare PECOS PAC ID | 6800261181 |
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Medicare Enrollment ID | O20230419001909 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629778766 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Michael T Prater |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1538103940 PECOS PAC ID: 1052213550 Enrollment ID: I20040602000871 |
Provider Name | Darren A Boyack |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1750374724 PECOS PAC ID: 3870541816 Enrollment ID: I20050926001239 |
Provider Name | Ryan C Reeves |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1770584310 PECOS PAC ID: 1254322092 Enrollment ID: I20051101001042 |
Provider Name | John S Bradley |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1801018536 PECOS PAC ID: 2769557610 Enrollment ID: I20080812000724 |
Provider Name | Brett R Hailey |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1063411916 PECOS PAC ID: 3375553092 Enrollment ID: I20081030000388 |
Provider Name | Lorene R Creasser |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013156736 PECOS PAC ID: 4688725781 Enrollment ID: I20090701000275 |
Provider Name | Timothy J Chilcote |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1841224946 PECOS PAC ID: 6002960176 Enrollment ID: I20090825000186 |
Provider Name | Sara E Cross |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1821148123 PECOS PAC ID: 8123195617 Enrollment ID: I20090825000286 |
Provider Name | Martha Sue Fanning |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1073514733 PECOS PAC ID: 5799741245 Enrollment ID: I20100505000662 |
Provider Name | Arman Saber |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1962403626 PECOS PAC ID: 4981660503 Enrollment ID: I20100630000757 |
Provider Name | Otis E Miller |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1518968155 PECOS PAC ID: 0244296879 Enrollment ID: I20100630000785 |
Provider Name | Maria L Petersen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518256171 PECOS PAC ID: 6406032895 Enrollment ID: I20110519000484 |
Provider Name | David M Finkle |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1336362953 PECOS PAC ID: 7113051863 Enrollment ID: I20110912000381 |
Provider Name | Ashley D Ferguson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790061968 PECOS PAC ID: 1153571237 Enrollment ID: I20121025000801 |
Provider Name | Anna M Ramirez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932468550 PECOS PAC ID: 8325299159 Enrollment ID: I20121103000085 |
Provider Name | Sheila M Alton |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1124029640 PECOS PAC ID: 1052448016 Enrollment ID: I20130826000974 |
Provider Name | William B Kruse |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1851329908 PECOS PAC ID: 2668530676 Enrollment ID: I20140214001638 |
Provider Name | William B Jewell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659771277 PECOS PAC ID: 3577785468 Enrollment ID: I20141110000122 |
Provider Name | Dustin W Keffer |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1992062129 PECOS PAC ID: 6305159708 Enrollment ID: I20150714001858 |
Provider Name | Grady Thiems |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1245506229 PECOS PAC ID: 6103046040 Enrollment ID: I20150729007767 |
Provider Name | Rebecca N Messerli |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1073672499 PECOS PAC ID: 9537259130 Enrollment ID: I20150831000538 |
Provider Name | Sean E Fulton |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1639178668 PECOS PAC ID: 3577620210 Enrollment ID: I20150915000397 |
Provider Name | Beau A Butherus |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1467751032 PECOS PAC ID: 0840421277 Enrollment ID: I20160620001139 |
Provider Name | Elliott A Fried |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1568806842 PECOS PAC ID: 8325349129 Enrollment ID: I20160701000284 |
Provider Name | James A Mitts |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1184069957 PECOS PAC ID: 4082924865 Enrollment ID: I20160707001513 |
Provider Name | Katherine L Walden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598219396 PECOS PAC ID: 3476849282 Enrollment ID: I20160902001391 |
Provider Name | Behnam Raisdana |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1356695001 PECOS PAC ID: 1759698798 Enrollment ID: I20170109000232 |
Provider Name | Stephanie Anne Padley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962749887 PECOS PAC ID: 6901044155 Enrollment ID: I20170510000619 |
Provider Name | Dane C Boyack |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1649682303 PECOS PAC ID: 2961797907 Enrollment ID: I20170518000104 |
Provider Name | Stephanie Thom |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1013336320 PECOS PAC ID: 6709166853 Enrollment ID: I20170825002498 |
Provider Name | Nathaniel S Brackett |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1457314429 PECOS PAC ID: 2365419264 Enrollment ID: I20170914002686 |
Provider Name | Nicholas S Hosey |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1235576125 PECOS PAC ID: 5294033965 Enrollment ID: I20171201001720 |
Provider Name | Travis L Thibault |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861990566 PECOS PAC ID: 8224391537 Enrollment ID: I20180503001236 |
Provider Name | Christine A Mary |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912541939 PECOS PAC ID: 4981039765 Enrollment ID: I20200124002014 |
Provider Name | Seth A Atchison |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1407397615 PECOS PAC ID: 6507138302 Enrollment ID: I20200824002801 |
Provider Name | Morgan Smith |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1568826022 PECOS PAC ID: 2769778612 Enrollment ID: I20200911000589 |
Provider Name | James Arpin |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1497250880 PECOS PAC ID: 5496003097 Enrollment ID: I20210628001078 |
Provider Name | Karl F Hesson |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1992200695 PECOS PAC ID: 9133522824 Enrollment ID: I20210816001178 |
Provider Name | Leslee M Brady |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154990109 PECOS PAC ID: 3678961158 Enrollment ID: I20211103000175 |
Provider Name | Shane Kevin Giannetti |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1295298651 PECOS PAC ID: 5890020499 Enrollment ID: I20220622001075 |
Provider Name | Geoffrey S Digiacinto |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1154881498 PECOS PAC ID: 4981931375 Enrollment ID: I20220627001830 |
Provider Name | Thaison P Tran |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1063739308 PECOS PAC ID: 3173769916 Enrollment ID: I20220713001827 |
Provider Name | Sara Ladner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760105274 PECOS PAC ID: 8022484781 Enrollment ID: I20221020001731 |
Provider Name | Jayme Catherine Troup |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720795164 PECOS PAC ID: 4183095540 Enrollment ID: I20230121000064 |
Provider Name | Tori P Hinderliter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487369492 PECOS PAC ID: 9032572516 Enrollment ID: I20230831000192 |
Provider Name | Jessica D Scofield |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1568088847 PECOS PAC ID: 5799108858 Enrollment ID: I20230831000465 |
Provider Name | Gregory E Bowlin |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1588927420 PECOS PAC ID: 6901258201 Enrollment ID: I20240123002263 |
John B. Sturgeon M.d. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8800 W 75th St, Ste 310, Shawnee Mission, KS 66204 Phone: 913-671-7803 Fax: 913-722-0012 | |
Ammar Khalifa, M.d., L.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8901 W 74th St, Suite 147, Shawnee Mission, KS 66204 Phone: 913-432-8400 Fax: 913-432-8402 | |
Wellspring Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12700 Antioch Rd, Shawnee Mission, KS 66213 Phone: 909-815-3324 | |
Health Partnership Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9119 W 74th St, Ste 210, Shawnee Mission, KS 66204 Phone: 913-648-2266 | |
A4me, Professional Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-485-4139 | |
Thomas W. Fulbright M.d. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8901 W 74th St, Shawnee Mission, KS 66204 Phone: 913-261-2222 Fax: 913-261-2229 |