Prime Healthcare Kansas City - Physician Services Llc | |
930 Carondelet Dr Ste 201 Kansas City MO 64114-4698 | |
(816) 389-6100 | |
Not Available |
Full Name | Prime Healthcare Kansas City - Physician Services Llc |
---|---|
Speciality | Family Medicine |
Location | 930 Carondelet Dr Ste 201, Kansas City, Missouri |
Authorized Official Name and Position | Christopher Doan (MANAGING ASSOCIATE GENERAL COUNSEL) |
Authorized Official Contact | 3102594706 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Prime Healthcare Kansas City - Physician Services Llc 1000 Carondelet Dr Kansas City MO 64114-4673 Ph: (816) 943-2583 | Prime Healthcare Kansas City - Physician Services Llc 930 Carondelet Dr Ste 201 Kansas City MO 64114-4698 Ph: (816) 389-6100 |
NPI Number | 1427449487 |
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Provider Enumeration Date | 02/12/2015 |
Last Update Date | 09/03/2021 |
Medicare PECOS PAC ID | 7315267325 |
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Medicare Enrollment ID | O20150514001835 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427449487 | NPI | - | NPPES |
500022593 | Medicaid | MO |
Provider Name | Daniel Dunker |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1407809544 PECOS PAC ID: 3678478567 Enrollment ID: I20031204000114 |
Provider Name | John M Forman |
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Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1992871123 PECOS PAC ID: 4385549591 Enrollment ID: I20031212000220 |
Provider Name | Michael F Meurer |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1750474144 PECOS PAC ID: 3577469147 Enrollment ID: I20031212000407 |
Provider Name | Sofia S Khan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770580730 PECOS PAC ID: 1052304565 Enrollment ID: I20040408000135 |
Provider Name | David J Burkart |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1225078488 PECOS PAC ID: 7315907607 Enrollment ID: I20041012000653 |
Provider Name | Jetinder S Marjara |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972597334 PECOS PAC ID: 9638134687 Enrollment ID: I20041201000534 |
Provider Name | Janet M Dunn |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1164419388 PECOS PAC ID: 4486616653 Enrollment ID: I20050727001173 |
Provider Name | Naina Patil |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1427169390 PECOS PAC ID: 8820021785 Enrollment ID: I20050913000205 |
Provider Name | Michael Joseph Liston |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1093735557 PECOS PAC ID: 7810954773 Enrollment ID: I20051026000535 |
Provider Name | Kevin E Suttmoeller |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144201914 PECOS PAC ID: 2860390689 Enrollment ID: I20051123000216 |
Provider Name | Gerald M Mancuso |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1427012574 PECOS PAC ID: 3375565518 Enrollment ID: I20051230000502 |
Provider Name | Craig H Lundgren |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1508820655 PECOS PAC ID: 1456373695 Enrollment ID: I20051230000517 |
Provider Name | William F Sudholt |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164486254 PECOS PAC ID: 1759305378 Enrollment ID: I20060124000100 |
Provider Name | John K Lee |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1548214158 PECOS PAC ID: 2264455542 Enrollment ID: I20060301000804 |
Provider Name | Vijay Parthiban |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740227693 PECOS PAC ID: 2860478716 Enrollment ID: I20060411000788 |
Provider Name | Thad A Stephens |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1053310938 PECOS PAC ID: 1254340300 Enrollment ID: I20060418000360 |
Provider Name | Jeffrey R Althoff |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1316946304 PECOS PAC ID: 3173533817 Enrollment ID: I20060426000327 |
Provider Name | Celia M Duffett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427001551 PECOS PAC ID: 8224041942 Enrollment ID: I20060725000432 |
Provider Name | Parveen Kumar Khosla |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1801973813 PECOS PAC ID: 1951407493 Enrollment ID: I20070430000673 |
Provider Name | Jacqueline L Shearer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689614166 PECOS PAC ID: 4183721855 Enrollment ID: I20070515000461 |
Provider Name | Paul R Hura |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619069176 PECOS PAC ID: 8123070539 Enrollment ID: I20071207000398 |
Provider Name | Jin S Park |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1164400768 PECOS PAC ID: 9133292089 Enrollment ID: I20080725000057 |
Provider Name | James Alfred Dangelo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093704314 PECOS PAC ID: 5597831040 Enrollment ID: I20080905000647 |
Provider Name | Linda J Mccormick |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518956507 PECOS PAC ID: 0042386591 Enrollment ID: I20080905000653 |
Provider Name | Nikoloz G Chitaia |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1457314361 PECOS PAC ID: 0143204792 Enrollment ID: I20090401000237 |
Provider Name | Meenakshi N Sharma |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881785517 PECOS PAC ID: 3971609108 Enrollment ID: I20091228000486 |
Provider Name | Francisco J Lammoglia |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1801908017 PECOS PAC ID: 0446272603 Enrollment ID: I20100202000396 |
Provider Name | Corinne Sundar Rao |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1255325643 PECOS PAC ID: 3375688047 Enrollment ID: I20100305000116 |
Provider Name | Eric S Hockstad |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1053364265 PECOS PAC ID: 3779495239 Enrollment ID: I20100325000180 |
Provider Name | John M Holkins |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1174577431 PECOS PAC ID: 1557273018 Enrollment ID: I20100331000909 |
Provider Name | David R Blick |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1699729202 PECOS PAC ID: 6608788161 Enrollment ID: I20100331000933 |
Provider Name | James E Sear |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1649206665 PECOS PAC ID: 4789596248 Enrollment ID: I20100331000987 |
Provider Name | William N Brodine |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1215981691 PECOS PAC ID: 1456263912 Enrollment ID: I20100331001014 |
Provider Name | Fred D Biggs |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1750335121 PECOS PAC ID: 2668508383 Enrollment ID: I20100331001066 |
Provider Name | Dean Mundhenke |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447356092 PECOS PAC ID: 4880766534 Enrollment ID: I20100513000665 |
Provider Name | Karla L Houston-gray |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003801085 PECOS PAC ID: 3476681214 Enrollment ID: I20100514000372 |
Provider Name | Neal Allen Erickson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164427860 PECOS PAC ID: 8729178512 Enrollment ID: I20100524000909 |
Provider Name | Kate E Coniglio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730400888 PECOS PAC ID: 8820122468 Enrollment ID: I20100817001684 |
Provider Name | My N Myers |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396701090 PECOS PAC ID: 3173583671 Enrollment ID: I20100817001694 |
Provider Name | Patrick D Santiago |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1659328599 PECOS PAC ID: 1153355722 Enrollment ID: I20100818000903 |
Provider Name | Amit Patel |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1144414244 PECOS PAC ID: 9739371501 Enrollment ID: I20101012001416 |
Provider Name | Ibrahim Mourad |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164497525 PECOS PAC ID: 5395765788 Enrollment ID: I20101025000631 |
Provider Name | Tommy K Ko |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1881665081 PECOS PAC ID: 0840204319 Enrollment ID: I20101104001026 |
Provider Name | Timothy W Smith |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1972680627 PECOS PAC ID: 4587608773 Enrollment ID: I20101201001362 |
Provider Name | Alfred C Caruso |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1568549269 PECOS PAC ID: 6204870496 Enrollment ID: I20110303000448 |
Provider Name | Jennifer L Troyer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477852622 PECOS PAC ID: 1850577172 Enrollment ID: I20110520000080 |
Provider Name | Meng Zhao |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851385009 PECOS PAC ID: 7618930660 Enrollment ID: I20110601000505 |
Provider Name | Kirk Sloan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821298951 PECOS PAC ID: 2567520984 Enrollment ID: I20110802000306 |
Provider Name | Andrew P Kimaku Karu |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1437166998 PECOS PAC ID: 1355361734 Enrollment ID: I20110921000559 |
Provider Name | Deanna M Mahoney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063709640 PECOS PAC ID: 8325211618 Enrollment ID: I20111102000213 |
Provider Name | Manoj K Sharma |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1760536650 PECOS PAC ID: 1153425350 Enrollment ID: I20120210000699 |
Provider Name | Brian M Haas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033352463 PECOS PAC ID: 8729242474 Enrollment ID: I20120611000271 |
Provider Name | Maggie M Ngar |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164651543 PECOS PAC ID: 0345406716 Enrollment ID: I20120730000717 |
Provider Name | Cindy M Mcvey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720351026 PECOS PAC ID: 8123277514 Enrollment ID: I20120928000203 |
Provider Name | Jeremy C Strom |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1932320439 PECOS PAC ID: 7113175670 Enrollment ID: I20121005000294 |
Provider Name | Tammy L Osborn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184996019 PECOS PAC ID: 8426207234 Enrollment ID: I20121010000318 |
Provider Name | Stefanie A Neill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144593450 PECOS PAC ID: 5991955692 Enrollment ID: I20121015000297 |
Provider Name | Laura A Aboud |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427393743 PECOS PAC ID: 2062665235 Enrollment ID: I20130122000235 |
Provider Name | Hannah P Neenan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750627352 PECOS PAC ID: 9436304961 Enrollment ID: I20130306000318 |
Provider Name | Tamera J Vroom |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649497348 PECOS PAC ID: 8921244039 Enrollment ID: I20130416000397 |
Provider Name | Kara R Meler |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558687053 PECOS PAC ID: 2062646631 Enrollment ID: I20131015000479 |
Provider Name | Jason T Meler |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942526454 PECOS PAC ID: 6204060882 Enrollment ID: I20131015000627 |
Provider Name | Nicka Khalilova |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598102204 PECOS PAC ID: 2860626348 Enrollment ID: I20131018001351 |
Provider Name | Adeel Pervez |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1710933825 PECOS PAC ID: 3274538004 Enrollment ID: I20140110000371 |
Provider Name | Jennifer M Pound |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881021285 PECOS PAC ID: 9234368960 Enrollment ID: I20140129001240 |
Provider Name | Jane E Stewart |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013908557 PECOS PAC ID: 1153485321 Enrollment ID: I20140224001940 |
Provider Name | Beth A Moreland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407274780 PECOS PAC ID: 2769615525 Enrollment ID: I20140508001238 |
Provider Name | Kristie Baker |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124051941 PECOS PAC ID: 1850310269 Enrollment ID: I20140707000255 |
Provider Name | Callie R Labeth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972912152 PECOS PAC ID: 9638399082 Enrollment ID: I20141007000118 |
Provider Name | Nora P Gomez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558687582 PECOS PAC ID: 3678604329 Enrollment ID: I20141016001208 |
Provider Name | Kenneth D Jackson |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1295898179 PECOS PAC ID: 6103047758 Enrollment ID: I20141023000698 |
Provider Name | Jacqueline D Tebeest |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831591684 PECOS PAC ID: 4880816941 Enrollment ID: I20141105002215 |
Provider Name | Saida A Alarab |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265831523 PECOS PAC ID: 6507086113 Enrollment ID: I20150410001537 |
Provider Name | Nissa K. Fisher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922494038 PECOS PAC ID: 1850603994 Enrollment ID: I20150702001439 |
Provider Name | Muhammed K Banday |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790071074 PECOS PAC ID: 8224260096 Enrollment ID: I20150730011302 |
Provider Name | Dafer M Samara |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1760608798 PECOS PAC ID: 1153472907 Enrollment ID: I20150921001295 |
Provider Name | Luis F Couchonnal |
---|---|
Provider Type | Practitioner - Cardiac Electrophysiology |
Provider Identifiers | NPI Number: 1629287602 PECOS PAC ID: 3779752233 Enrollment ID: I20150922000414 |
Provider Name | Robert Otto |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033585609 PECOS PAC ID: 1254649627 Enrollment ID: I20151005001322 |
Provider Name | Omer F Leroy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669849956 PECOS PAC ID: 0840509378 Enrollment ID: I20151022001832 |
Provider Name | Syreeta Van Ross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063539823 PECOS PAC ID: 9436457546 Enrollment ID: I20160405002558 |
Provider Name | Lakeitia R Bunn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841658507 PECOS PAC ID: 8527366210 Enrollment ID: I20160413001059 |
Provider Name | Sara Koenemann |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780046250 PECOS PAC ID: 8022317957 Enrollment ID: I20160428000007 |
Provider Name | Kamaria A Harris-rutherford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437504743 PECOS PAC ID: 3274822580 Enrollment ID: I20160510000474 |
Provider Name | Laura Leeann Tullis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841651346 PECOS PAC ID: 6305135286 Enrollment ID: I20160608002474 |
Provider Name | Andrea Rose |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134597784 PECOS PAC ID: 6305156621 Enrollment ID: I20160614000558 |
Provider Name | Aradhana Pandey |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467628040 PECOS PAC ID: 9830352236 Enrollment ID: I20160627001954 |
Provider Name | Sunita Muranjan |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1700071479 PECOS PAC ID: 4486793528 Enrollment ID: I20160802002771 |
Provider Name | Vincent R Demarco |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942649538 PECOS PAC ID: 5294021473 Enrollment ID: I20160914002450 |
Provider Name | Josue P Gabriel |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1376506824 PECOS PAC ID: 1759344120 Enrollment ID: I20161011001267 |
Provider Name | Sherry Wei Yang |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336401330 PECOS PAC ID: 4284922824 Enrollment ID: I20161013001606 |
Provider Name | Jorge A Valdivia |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639300536 PECOS PAC ID: 8123270022 Enrollment ID: I20170124001499 |
Provider Name | James E Burrow |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659819688 PECOS PAC ID: 3072897230 Enrollment ID: I20170307001673 |
Provider Name | Jenna M Monger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528575560 PECOS PAC ID: 4789945718 Enrollment ID: I20180307001945 |
Provider Name | Mohamed S Abdalaziz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538578075 PECOS PAC ID: 5597044792 Enrollment ID: I20180412000985 |
Provider Name | Samantha Jo Castlebury |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942703863 PECOS PAC ID: 0042573248 Enrollment ID: I20180423001864 |
Provider Name | Laura B Contreras |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053831370 PECOS PAC ID: 9537424247 Enrollment ID: I20180530002368 |
Provider Name | Yugandhar Kandimalla |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982840336 PECOS PAC ID: 4981862901 Enrollment ID: I20180612003335 |
Provider Name | Aman U Khan |
---|---|
Provider Type | Practitioner - Sleep Medicine |
Provider Identifiers | NPI Number: 1235236258 PECOS PAC ID: 2860568318 Enrollment ID: I20180724003517 |
Provider Name | Reda M Daher |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972820090 PECOS PAC ID: 1557597697 Enrollment ID: I20181023002409 |
Provider Name | Molly T Uribe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760980866 PECOS PAC ID: 1052674298 Enrollment ID: I20181121001716 |
Provider Name | Elizabeth C Gatrost |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134685258 PECOS PAC ID: 1557601341 Enrollment ID: I20190313002582 |
Provider Name | Amanda K Goldsmith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336634294 PECOS PAC ID: 6406107523 Enrollment ID: I20190321000838 |
Provider Name | Madhuresh Kumar |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1356362792 PECOS PAC ID: 5496882466 Enrollment ID: I20190405000355 |
Provider Name | Adam J Legg |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871956011 PECOS PAC ID: 5496047904 Enrollment ID: I20190711003413 |
Provider Name | Benjamin Newell Crary |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922458454 PECOS PAC ID: 9436441300 Enrollment ID: I20190906000526 |
Provider Name | Melissa Dusenberry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174160485 PECOS PAC ID: 5991139909 Enrollment ID: I20191230000596 |
Provider Name | Amanda K Howell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144868969 PECOS PAC ID: 0446684369 Enrollment ID: I20200102000626 |
Provider Name | Kelsie R Town |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306477096 PECOS PAC ID: 1052740479 Enrollment ID: I20200407001055 |
Provider Name | Mohammed Z Mohialdeen |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1841643210 PECOS PAC ID: 0648550251 Enrollment ID: I20200519003007 |
Provider Name | Rachel A Mcdonald |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821522186 PECOS PAC ID: 5496099798 Enrollment ID: I20201007000504 |
Provider Name | Chijioke F Mbah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376152546 PECOS PAC ID: 1153731955 Enrollment ID: I20201106000394 |
Provider Name | Robert Louis Tuttle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457953705 PECOS PAC ID: 6507270220 Enrollment ID: I20210120002576 |
Provider Name | Mary Hawes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831702174 PECOS PAC ID: 2264846468 Enrollment ID: I20210129001465 |
Provider Name | Nina C Gonzales |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891385183 PECOS PAC ID: 3971919440 Enrollment ID: I20210308001666 |
Provider Name | Anna Powers |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1215420369 PECOS PAC ID: 1557610045 Enrollment ID: I20210823001149 |
Provider Name | Tyler C Houser |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740855873 PECOS PAC ID: 4284031147 Enrollment ID: I20210921001274 |
Provider Name | Archana Machavarapu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063866374 PECOS PAC ID: 4486984440 Enrollment ID: I20210927002285 |
Provider Name | Mark B Swierczek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710577259 PECOS PAC ID: 2466840525 Enrollment ID: I20211022002134 |
Provider Name | Lauren Marie Willis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528723913 PECOS PAC ID: 8729477351 Enrollment ID: I20211119000484 |
Provider Name | Lauren E Meyer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942889563 PECOS PAC ID: 1153711247 Enrollment ID: I20211203001477 |
Provider Name | Emily Gibson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861928061 PECOS PAC ID: 5991077745 Enrollment ID: I20220506001101 |
Provider Name | Hope Lynn Boyle-jacobs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104562479 PECOS PAC ID: 5395125025 Enrollment ID: I20220712000814 |
Provider Name | Megan Morriss |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1548642291 PECOS PAC ID: 8527372614 Enrollment ID: I20220722001450 |
Provider Name | David A Miles |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1316400443 PECOS PAC ID: 6709269376 Enrollment ID: I20220831001306 |
Provider Name | David Robbins |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871580738 PECOS PAC ID: 3072545144 Enrollment ID: I20221118001800 |
Provider Name | Wade Turner |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104929603 PECOS PAC ID: 8628039120 Enrollment ID: I20230106001913 |
Provider Name | Khalid Y Sawalha |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1912560186 PECOS PAC ID: 9133453871 Enrollment ID: I20230405003032 |
Provider Name | Allison Roberts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285288092 PECOS PAC ID: 8729319991 Enrollment ID: I20230708000436 |
Provider Name | Christine Marie White |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881210250 PECOS PAC ID: 5092138156 Enrollment ID: I20230803003122 |
Provider Name | Debra Kim Lietzke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467051680 PECOS PAC ID: 6103288394 Enrollment ID: I20230821001800 |
Provider Name | Tariq Musa |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164889028 PECOS PAC ID: 1153694419 Enrollment ID: I20231021000205 |
Provider Name | Karl Dean Metzger |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1376862763 PECOS PAC ID: 3072754092 Enrollment ID: I20231229002722 |
Provider Name | Suveenkrishna Pothuru |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114380839 PECOS PAC ID: 6901197730 Enrollment ID: I20240427001928 |
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 | |
Bannister Internal Medicine Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9520 James A Reed Rd, Suite B, Kansas City, MO 64134 Phone: 816-599-6317 Fax: 816-599-6319 | |
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 |