|
| |
|
305 S Platte Clay Way Kearney MO 64060-8214 | |
| (816) 628-4409 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 305 S Platte Clay Way, Kearney, Missouri |
| Authorized Official Name and Position | David H Feess (CEO AND PRESIDENT) |
| Authorized Official Contact | 8167817730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 219672 Kansas City MO 64121-9672 Ph: (816) 628-4409 | 305 S Platte Clay Way Kearney MO 64060-8214 Ph: (816) 628-4409 |
| NPI Number | 1669734661 |
|---|---|
| Provider Enumeration Date | 06/14/2012 |
| Last Update Date | 10/13/2016 |
| Medicare PECOS PAC ID | 9931166618 |
|---|---|
| Medicare Enrollment ID | O20120918000321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669734661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | James H Olson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831194802 PECOS PAC ID: 2860474350 Enrollment ID: I20040607001380 |
| Provider Name | Ryan Lee Huyser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659363745 PECOS PAC ID: 8729068416 Enrollment ID: I20040722001206 |
| Provider Name | Raghavendra B. Adiga |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801859624 PECOS PAC ID: 4183699010 Enrollment ID: I20040901001344 |
| Provider Name | Susan Anderson Jones |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1932182763 PECOS PAC ID: 9032005608 Enrollment ID: I20040917000220 |
| Provider Name | Jill A Jines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740255397 PECOS PAC ID: 0345280624 Enrollment ID: I20050505000728 |
| Provider Name | Melanie Lee Phillips |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659320588 PECOS PAC ID: 9931152147 Enrollment ID: I20050513000395 |
| Provider Name | Anna K Clark Gibson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700801073 PECOS PAC ID: 3870523376 Enrollment ID: I20050906000897 |
| Provider Name | Naina Patil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427169390 PECOS PAC ID: 8820021785 Enrollment ID: I20050913000205 |
| Provider Name | Imran Q Cheema |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316992340 PECOS PAC ID: 8022037837 Enrollment ID: I20051121000988 |
| Provider Name | Karmen M Olberding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578690202 PECOS PAC ID: 1153336029 Enrollment ID: I20060214000286 |
| Provider Name | Arnold Leslie Katz |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1023034923 PECOS PAC ID: 6507817673 Enrollment ID: I20061006000105 |
| Provider Name | Ashley E Ferraro |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912917139 PECOS PAC ID: 6901807833 Enrollment ID: I20070119000480 |
| Provider Name | Anja Ileen Ismert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427019660 PECOS PAC ID: 5092738294 Enrollment ID: I20070510000468 |
| Provider Name | Julie A Marx |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003019423 PECOS PAC ID: 1850491820 Enrollment ID: I20070705000599 |
| Provider Name | Ryan R Snyder |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477597037 PECOS PAC ID: 4284726001 Enrollment ID: I20070824000553 |
| Provider Name | Ellen Juvet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750394789 PECOS PAC ID: 7315044351 Enrollment ID: I20080109000772 |
| Provider Name | Bridget Bransteitter |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114031580 PECOS PAC ID: 4587747910 Enrollment ID: I20080208000178 |
| Provider Name | Joshua Joe Niemann |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114967627 PECOS PAC ID: 5193818847 Enrollment ID: I20080520000152 |
| Provider Name | Patrick J Perkins |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437159308 PECOS PAC ID: 2163464256 Enrollment ID: I20080710000151 |
| Provider Name | Cynthia A Spilker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588643704 PECOS PAC ID: 1355400052 Enrollment ID: I20081111000111 |
| Provider Name | Julie Ann Hough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053551648 PECOS PAC ID: 7214094465 Enrollment ID: I20090316000363 |
| Provider Name | Robin L Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760474779 PECOS PAC ID: 8022167600 Enrollment ID: I20090602000032 |
| Provider Name | Lori C Baughman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316949985 PECOS PAC ID: 5294884870 Enrollment ID: I20090602000036 |
| Provider Name | Brandon S Day |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871585026 PECOS PAC ID: 9638228216 Enrollment ID: I20090602000049 |
| Provider Name | Bradley W Garstang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609878271 PECOS PAC ID: 7618026295 Enrollment ID: I20090602000063 |
| Provider Name | Yvonne I Spurlock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487656179 PECOS PAC ID: 8022167618 Enrollment ID: I20090602000114 |
| Provider Name | Tapas J Ghose |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326089285 PECOS PAC ID: 7315014172 Enrollment ID: I20090603000572 |
| Provider Name | Elizabeth K Gerstner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033149430 PECOS PAC ID: 0143372607 Enrollment ID: I20090714000280 |
| Provider Name | Michael E Gorton |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679684591 PECOS PAC ID: 6406992635 Enrollment ID: I20091001000488 |
| Provider Name | Dustin C Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972730034 PECOS PAC ID: 3779625942 Enrollment ID: I20100126000818 |
| Provider Name | John A Burroughs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871562488 PECOS PAC ID: 7315090982 Enrollment ID: I20100303000352 |
| Provider Name | Santosh George |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477540227 PECOS PAC ID: 5698852333 Enrollment ID: I20100422000378 |
| Provider Name | Misty N Floersch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740505700 PECOS PAC ID: 3577694264 Enrollment ID: I20100624000235 |
| Provider Name | Jane Anne Bell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861488678 PECOS PAC ID: 9234263872 Enrollment ID: I20100817001625 |
| Provider Name | Demetrios G Maragos |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1063409381 PECOS PAC ID: 2668526724 Enrollment ID: I20100910000797 |
| Provider Name | Gregory J Mulcahy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1982672457 PECOS PAC ID: 0042353633 Enrollment ID: I20110106000610 |
| Provider Name | Matthew E Beuerlein |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891763363 PECOS PAC ID: 9830114719 Enrollment ID: I20110106000674 |
| Provider Name | Molly F Caldwell Mcmillan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417070327 PECOS PAC ID: 9133306046 Enrollment ID: I20110601000820 |
| Provider Name | Abbey M Oshel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558531079 PECOS PAC ID: 0941479992 Enrollment ID: I20110808000527 |
| Provider Name | Neal B Anson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134345259 PECOS PAC ID: 3375713738 Enrollment ID: I20110823000671 |
| Provider Name | Sonica Saini |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659593267 PECOS PAC ID: 0244401818 Enrollment ID: I20110913000150 |
| Provider Name | Alexander Schoofs |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1134191257 PECOS PAC ID: 9133213747 Enrollment ID: I20111123000089 |
| Provider Name | Dwarakraj Soundarraj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609079938 PECOS PAC ID: 8729174669 Enrollment ID: I20120203000178 |
| Provider Name | John J Barclay |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316144223 PECOS PAC ID: 1153586599 Enrollment ID: I20120710000079 |
| Provider Name | Asem A Abdeljalil |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861410706 PECOS PAC ID: 6305845751 Enrollment ID: I20120816000688 |
| Provider Name | Bradley Allen Hiser |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750487823 PECOS PAC ID: 8022265453 Enrollment ID: I20120820001038 |
| Provider Name | Stephanie L Bild |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457623761 PECOS PAC ID: 6608025432 Enrollment ID: I20121011000035 |
| Provider Name | Alicia M Muller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619216017 PECOS PAC ID: 6204072416 Enrollment ID: I20130412000531 |
| Provider Name | Brian J Gillenwater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649543828 PECOS PAC ID: 7315189644 Enrollment ID: I20130815000332 |
| Provider Name | Mary C Miele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306187307 PECOS PAC ID: 8123261203 Enrollment ID: I20130821000998 |
| Provider Name | Yeruva Veera Madhu Mohan Reddy |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1275755886 PECOS PAC ID: 5890939078 Enrollment ID: I20131204000933 |
| Provider Name | Christopher T Scott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346662442 PECOS PAC ID: 6002046877 Enrollment ID: I20140224001842 |
| Provider Name | Jennifer M Busby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861710139 PECOS PAC ID: 0042402505 Enrollment ID: I20140513000201 |
| Provider Name | James B Spencer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194998021 PECOS PAC ID: 3072786961 Enrollment ID: I20140609000412 |
| Provider Name | Michael S Rhee |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124255021 PECOS PAC ID: 9739304213 Enrollment ID: I20140626001213 |
| Provider Name | Kyle S Schneweis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174834378 PECOS PAC ID: 3072760123 Enrollment ID: I20140626002404 |
| Provider Name | Christopher Adams Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306132600 PECOS PAC ID: 0749428688 Enrollment ID: I20140722002301 |
| Provider Name | Jay B Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710273677 PECOS PAC ID: 6103042908 Enrollment ID: I20140731001920 |
| Provider Name | Calvin G Madrigal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619264256 PECOS PAC ID: 4486872751 Enrollment ID: I20140828000340 |
| Provider Name | Jerilyn Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083003552 PECOS PAC ID: 0648595678 Enrollment ID: I20150213000771 |
| Provider Name | Sheila M Owens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245592906 PECOS PAC ID: 4981851458 Enrollment ID: I20150721001750 |
| Provider Name | Kirstie S Van Ry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093940157 PECOS PAC ID: 3173741063 Enrollment ID: I20150730012696 |
| Provider Name | Elizabeth A Gansen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1063897403 PECOS PAC ID: 8224343710 Enrollment ID: I20150812008353 |
| Provider Name | Heather E Doss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043500275 PECOS PAC ID: 1153637012 Enrollment ID: I20150909000303 |
| Provider Name | Adam Harrold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134568918 PECOS PAC ID: 4880823210 Enrollment ID: I20151208000491 |
| Provider Name | Tracy Ann Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710347380 PECOS PAC ID: 6002112844 Enrollment ID: I20160304000700 |
| Provider Name | Jodie Lee Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285016295 PECOS PAC ID: 0143511261 Enrollment ID: I20160621001760 |
| Provider Name | Sunita Muranjan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700071479 PECOS PAC ID: 4486793528 Enrollment ID: I20160802002771 |
| Provider Name | Duong T Ho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356792196 PECOS PAC ID: 8729373915 Enrollment ID: I20160826002006 |
| Provider Name | Sarah E Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548719750 PECOS PAC ID: 5991093940 Enrollment ID: I20161007000652 |
| Provider Name | Kelle N Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336591643 PECOS PAC ID: 0244528818 Enrollment ID: I20161013002478 |
| Provider Name | Muhammad A Shoaib |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881672376 PECOS PAC ID: 2062422330 Enrollment ID: I20170220001844 |
| Provider Name | Vishal K Adma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649238221 PECOS PAC ID: 4688576622 Enrollment ID: I20170425002429 |
| Provider Name | Justin V Chandler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750657599 PECOS PAC ID: 7810282365 Enrollment ID: I20170612000272 |
| Provider Name | Jasmine George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902268097 PECOS PAC ID: 2668763525 Enrollment ID: I20170713003560 |
| Provider Name | Jordan Ryan Haskins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083024087 PECOS PAC ID: 7810274511 Enrollment ID: I20170922001940 |
| Provider Name | Melanie Lee Palma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649660036 PECOS PAC ID: 1254656101 Enrollment ID: I20171219000703 |
| Provider Name | Annah C Sybouts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083126569 PECOS PAC ID: 2466712336 Enrollment ID: I20180214001942 |
| Provider Name | Cherie C Keogh-dodge |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730346610 PECOS PAC ID: 6204008782 Enrollment ID: I20180328001352 |
| Provider Name | Molly Oligbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437646650 PECOS PAC ID: 8921363292 Enrollment ID: I20180607002497 |
| Provider Name | Patricia E Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154842821 PECOS PAC ID: 0244595213 Enrollment ID: I20180824001135 |
| Provider Name | Caitlin N Priest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447733506 PECOS PAC ID: 4789935701 Enrollment ID: I20181001001815 |
| Provider Name | Lydia R Assioun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487049128 PECOS PAC ID: 4183926546 Enrollment ID: I20181020000610 |
| Provider Name | Katie Brewer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1740609460 PECOS PAC ID: 6709121726 Enrollment ID: I20181220000145 |
| Provider Name | Kyle Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154717056 PECOS PAC ID: 4082917471 Enrollment ID: I20190709003099 |
| Provider Name | Clayton Lewis Theleman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013322080 PECOS PAC ID: 8729392485 Enrollment ID: I20190710003549 |
| Provider Name | Robert C Reams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982044491 PECOS PAC ID: 7618111972 Enrollment ID: I20190729003452 |
| Provider Name | Andrew J Taiber |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730490491 PECOS PAC ID: 4688806458 Enrollment ID: I20190905001606 |
| Provider Name | Carli M Kerner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639731938 PECOS PAC ID: 5395074959 Enrollment ID: I20190906000871 |
| Provider Name | Charles Eric Schroeder |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841265667 PECOS PAC ID: 3476507773 Enrollment ID: I20190907000127 |
| Provider Name | Tanya Mccrea Nielsen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710145099 PECOS PAC ID: 7113909383 Enrollment ID: I20191205001879 |
| Provider Name | Kayla Jere Barnard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992967285 PECOS PAC ID: 2163656109 Enrollment ID: I20200724001733 |
| Provider Name | Ashley Pence Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225653306 PECOS PAC ID: 3577989425 Enrollment ID: I20200821002314 |
| Provider Name | Eric Waweru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902445158 PECOS PAC ID: 9931512845 Enrollment ID: I20210114001877 |
| Provider Name | Jessica Fairchilds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639696743 PECOS PAC ID: 5395002729 Enrollment ID: I20210406001661 |
| Provider Name | Alex Ferrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467031807 PECOS PAC ID: 3173925591 Enrollment ID: I20210708000199 |
| Provider Name | Jordan Myhre |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982068623 PECOS PAC ID: 5193017747 Enrollment ID: I20210728000906 |
| Provider Name | Adil Imam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275037954 PECOS PAC ID: 7113321837 Enrollment ID: I20210803001462 |
| Provider Name | Natasha F Allison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417623802 PECOS PAC ID: 2769887918 Enrollment ID: I20210825004087 |
| Provider Name | Kyle T Mueller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114417672 PECOS PAC ID: 6406252709 Enrollment ID: I20210913001601 |
| Provider Name | Hector E Santiago Belledonne |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487852919 PECOS PAC ID: 4385885268 Enrollment ID: I20211206000058 |
| Provider Name | Taryn Alyssa Beshore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932871811 PECOS PAC ID: 2062804057 Enrollment ID: I20220301000475 |
| Provider Name | Jacqueline Littell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881285278 PECOS PAC ID: 6608264692 Enrollment ID: I20220330000782 |
| Provider Name | Marissa T Dunkerley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538827829 PECOS PAC ID: 5597151118 Enrollment ID: I20220407002449 |
| Provider Name | Stephanie Frey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215389820 PECOS PAC ID: 4688002017 Enrollment ID: I20220509002326 |
| Provider Name | Randol Michal Ramseier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033709944 PECOS PAC ID: 6608253786 Enrollment ID: I20220510002648 |
| Provider Name | Jacob Seevers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710547831 PECOS PAC ID: 4688909815 Enrollment ID: I20220802001737 |
| Provider Name | Alan Good |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477089225 PECOS PAC ID: 4981955259 Enrollment ID: I20220825003883 |
| Provider Name | Pulkesh Bhatia |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1871933960 PECOS PAC ID: 7810285723 Enrollment ID: I20220920000469 |
| Provider Name | Tehmeena Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033362538 PECOS PAC ID: 6901090224 Enrollment ID: I20220920001837 |
| Provider Name | Katlyn Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972254423 PECOS PAC ID: 7416333273 Enrollment ID: I20220930001743 |
| Provider Name | Courtney N Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780328575 PECOS PAC ID: 6103202783 Enrollment ID: I20221005001353 |
| Provider Name | Latosha Rains |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366190787 PECOS PAC ID: 5092191544 Enrollment ID: I20221006000834 |
| Provider Name | Eben Eno Mbei |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740698554 PECOS PAC ID: 7113204637 Enrollment ID: I20221007001700 |
| Provider Name | Amanda Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629607874 PECOS PAC ID: 5193184042 Enrollment ID: I20230710003053 |
| Provider Name | Morgan Johnson Ayers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588127625 PECOS PAC ID: 2769725381 Enrollment ID: I20230711000324 |
| Provider Name | Varda Singhal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1295176790 PECOS PAC ID: 8921393000 Enrollment ID: I20230712000194 |
| Provider Name | Nathaniel Nielsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427540327 PECOS PAC ID: 6002165743 Enrollment ID: I20230920002183 |
| Provider Name | Madison Cenkus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508579111 PECOS PAC ID: 8426403080 Enrollment ID: I20231017002338 |
| Provider Name | Andrew Christopher Stubbings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225711468 PECOS PAC ID: 1153776695 Enrollment ID: I20231018002102 |
| Provider Name | Elaina Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225819980 PECOS PAC ID: 0143676601 Enrollment ID: I20231019003359 |
| Provider Name | Siva Kumar Soma |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1407016694 PECOS PAC ID: 9739376211 Enrollment ID: I20240520003078 |
| Provider Name | Nicole L Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134758212 PECOS PAC ID: 3678997236 Enrollment ID: I20240606001041 |
| Provider Name | John Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720666308 PECOS PAC ID: 3870030976 Enrollment ID: I20240807002094 |
| Provider Name | Thomas J Mcquillan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295223915 PECOS PAC ID: 8022361161 Enrollment ID: I20241113001710 |
| Provider Name | Ishveena Duggal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487943205 PECOS PAC ID: 4284861618 Enrollment ID: I20241130000324 |
Kearney Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 S Platte Clay Way, Kearney, MO 64060 Phone: 816-628-4409 |