| Randy S Large, DO | |
|
17065 S Outer Rd, Belton, MO 64012-2165 | |
| (816) 348-1200 | |
| (913) 428-2951 |
| Full Name | Randy S Large |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 36 Years |
| Location | 17065 S Outer Rd, Belton, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538149778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 2010000744 (Missouri) | Primary |
| 207L00000X | Anesthesiology | 3086 (Arizona) | Secondary |
| 207L00000X | Anesthesiology | DR-34380 (Colorado) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Belton Regional Medical Center | Belton, MO | Hospital |
| Lee's Summit Medical Center | Lees summit, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Associates Of Kansas City Pa | 1951206168 | 218 |
| Anesthesia Associates Of Kansas City Pa | 1951206168 | 218 |
| Entity Name | Anesthesia Associates Of Kansas City Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174504732 PECOS PAC ID: 1951206168 Enrollment ID: O20050721001069 |
| Mailing Address | Practice Location Address |
|---|---|
| Randy S Large, DO 8717 W 110th St Ste 600, Overland Park, KS 66210-2126 Ph: (913) 428-2900 | Randy S Large, DO 17065 S Outer Rd, Belton, MO 64012-2165 Ph: (816) 348-1200 |
Jeremy J. Katz, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 17065 S 71 Hwy, Belton, MO 64012 Phone: 816-763-5446 | |
James Joseph Thomas, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 17065 S 71 Hwy, Belton, MO 64012 Phone: 816-763-5446 | |
Joshua Cleveland, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 17065 S Outer Rd, Belton, MO 64012 Phone: 913-428-2900 Fax: 913-428-2951 |