| Carepoint Inpatient Blue Sky Neurology Missouri, Llc | |
|
2316 E Meyer Blvd Kansas City MO 64132-1136 | |
| (816) 276-4000 | |
| Not Available |
| Full Name | Carepoint Inpatient Blue Sky Neurology Missouri, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2316 E Meyer Blvd, Kansas City, Missouri |
| Authorized Official Name and Position | Deborah Smith (VICE PRESIDENT/GENERAL COUNSEL) |
| Authorized Official Contact | 3034780430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carepoint Inpatient Blue Sky Neurology Missouri, Llc 5600 S Quebec St Ste 312a Greenwood Vlg CO 80111-2208 Ph: (303) 436-2727 | Carepoint Inpatient Blue Sky Neurology Missouri, Llc 2316 E Meyer Blvd Kansas City MO 64132-1136 Ph: (816) 276-4000 |
| NPI Number | 1538733142 |
|---|---|
| Provider Enumeration Date | 05/18/2021 |
| Last Update Date | 12/21/2021 |
| Certification Date | 12/21/2021 |
| Medicare PECOS PAC ID | 0941606172 |
|---|---|
| Medicare Enrollment ID | O20210913003372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538733142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Ahmed T Robbie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801826052 PECOS PAC ID: 9931173903 Enrollment ID: I20040825000036 |
| Provider Name | Aloka S Amarakone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407051329 PECOS PAC ID: 7315117827 Enrollment ID: I20110823000742 |
| Provider Name | Jacqueline Kraus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417994401 PECOS PAC ID: 0345149381 Enrollment ID: I20120307000615 |
| Provider Name | Muneer Naji Hassan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205129590 PECOS PAC ID: 8022255470 Enrollment ID: I20170612000691 |
| Provider Name | Sulaiman Iftikhar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902238215 PECOS PAC ID: 5395015887 Enrollment ID: I20170717000548 |
| Provider Name | Karen Rodman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205914660 PECOS PAC ID: 8921093212 Enrollment ID: I20170816002752 |
| Provider Name | Christopher Lintao Valencia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649305608 PECOS PAC ID: 1254360480 Enrollment ID: I20190702002154 |
| Provider Name | Carlos Eugenio Villar Cordova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417921321 PECOS PAC ID: 2163504614 Enrollment ID: I20200406001101 |
| Provider Name | Christopher G Janson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659425148 PECOS PAC ID: 8022322726 Enrollment ID: I20200519000637 |
| Provider Name | Jacqueline Burditt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952945537 PECOS PAC ID: 5890115448 Enrollment ID: I20201020001640 |
| Provider Name | Tobias Kulik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144545773 PECOS PAC ID: 4284853854 Enrollment ID: I20210305001295 |
| Provider Name | Joshua N Lovinger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528383718 PECOS PAC ID: 9335429109 Enrollment ID: I20210414001615 |
| Provider Name | Juan Ramos-canseco |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003194549 PECOS PAC ID: 5698045979 Enrollment ID: I20210504001119 |
| Provider Name | Radha Vallabhaneni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649288374 PECOS PAC ID: 8123189610 Enrollment ID: I20210915000865 |
| Provider Name | Aizaz Hundal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053846196 PECOS PAC ID: 9032487319 Enrollment ID: I20211103002356 |
| Provider Name | Ira Chang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285645440 PECOS PAC ID: 3678556727 Enrollment ID: I20211116001883 |
| Provider Name | Alicia Bennett |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023317633 PECOS PAC ID: 6002033370 Enrollment ID: I20211124000613 |
| Provider Name | Christopher Fanale |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598776452 PECOS PAC ID: 6103803465 Enrollment ID: I20211124000705 |
| Provider Name | Jeffrey Wagner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033321914 PECOS PAC ID: 2769580075 Enrollment ID: I20220127000377 |
| Provider Name | Maysun Ali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518285634 PECOS PAC ID: 9133438955 Enrollment ID: I20220202000734 |
| Provider Name | Nikita Maniar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225547722 PECOS PAC ID: 5890066880 Enrollment ID: I20220208002166 |
| Provider Name | Bahram Hormozdi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386800266 PECOS PAC ID: 6002051471 Enrollment ID: I20220208002531 |
| Provider Name | Emily Lampe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881868412 PECOS PAC ID: 3678738127 Enrollment ID: I20220307001058 |
| Provider Name | Laxmi Dhakal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598997348 PECOS PAC ID: 0446490056 Enrollment ID: I20220404001148 |
| Provider Name | Furqan Waseem |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558740829 PECOS PAC ID: 6204144678 Enrollment ID: I20220621000754 |
| Provider Name | Jose Luis Vega |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558503458 PECOS PAC ID: 1850583790 Enrollment ID: I20220719000746 |
| Provider Name | Jonathan Thomas Kleinman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912262080 PECOS PAC ID: 9739479528 Enrollment ID: I20220719000924 |
| Provider Name | Omar Hussein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639433907 PECOS PAC ID: 8224334990 Enrollment ID: I20220818003723 |
| Provider Name | Adam Kristopher Graham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427252725 PECOS PAC ID: 2860653334 Enrollment ID: I20221019000621 |
| Provider Name | Byron R Spencer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518941343 PECOS PAC ID: 4789721978 Enrollment ID: I20221025001738 |
| Provider Name | Ray M Bogitch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639389810 PECOS PAC ID: 7810040060 Enrollment ID: I20221122001579 |
| Provider Name | Anthony M Harrington |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770906935 PECOS PAC ID: 2365798477 Enrollment ID: I20230621003043 |
| Provider Name | Daniel Kaplan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013412014 PECOS PAC ID: 4789046947 Enrollment ID: I20230821000630 |
| Provider Name | Neena Viswanathan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073007589 PECOS PAC ID: 9739549098 Enrollment ID: I20230822003063 |
| Provider Name | Miranda Wahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962191049 PECOS PAC ID: 6901253715 Enrollment ID: I20231115001974 |
| Provider Name | Ala Saleh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922596857 PECOS PAC ID: 6608225289 Enrollment ID: I20231207002147 |
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