| The University Of Kansas Health System-family Medicine | |
|
1000 E 101st Ter Kansas City MO 64131-3366 | |
| (816) 761-0884 | |
| (816) 761-1790 |
| Full Name | The University Of Kansas Health System-family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1000 E 101st Ter, Kansas City, Missouri |
| Authorized Official Name and Position | Carrie Jordan (SENIOR ADMINISTRATOR) |
| Authorized Official Contact | 9139455592 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The University Of Kansas Health System-family Medicine 2330 Shawnee Mission Pkwy Medical Administrative Services Of Ku Med. Ste. 312 Westwood KS 66205-2005 Ph: (913) 588-9000 | The University Of Kansas Health System-family Medicine 1000 E 101st Ter Kansas City MO 64131-3366 Ph: (816) 761-0884 |
| NPI Number | 1982665436 |
|---|---|
| Provider Enumeration Date | 03/31/2006 |
| Last Update Date | 03/11/2021 |
| Medicare PECOS PAC ID | 8123928900 |
|---|---|
| Medicare Enrollment ID | O20040120000219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982665436 | NPI | - | NPPES |
| 09470056 | Other | MO | BCBS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Pennie L Mesmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013939982 PECOS PAC ID: 4587555271 Enrollment ID: I20040323000240 |
| Provider Name | Kerri L Keberlein--lynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821024688 PECOS PAC ID: 4688623697 Enrollment ID: I20050118000087 |
| Provider Name | Maiko G Ebersole Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386611457 PECOS PAC ID: 9830142850 Enrollment ID: I20050301000987 |
| Provider Name | Diane C Scheuer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407841943 PECOS PAC ID: 8921028408 Enrollment ID: I20051129000668 |
| Provider Name | Harry Lounce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114974607 PECOS PAC ID: 9133134547 Enrollment ID: I20060207000175 |
| Provider Name | Kenneth Steven Braton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740273465 PECOS PAC ID: 2466456876 Enrollment ID: I20060825000445 |
| Provider Name | Jennifer L Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841284239 PECOS PAC ID: 1850473919 Enrollment ID: I20080128000728 |
| Provider Name | Faye E Vandendaele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851483101 PECOS PAC ID: 9133288160 Enrollment ID: I20081106000065 |
| Provider Name | Cynthia L Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396748752 PECOS PAC ID: 6709819196 Enrollment ID: I20090504000293 |
| Provider Name | Robert W Drogan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871538074 PECOS PAC ID: 6406990001 Enrollment ID: I20100220000085 |
| Provider Name | Robert E Dattilio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174559942 PECOS PAC ID: 1254475858 Enrollment ID: I20100220000141 |
| Provider Name | Timothy C Frey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447298385 PECOS PAC ID: 5698819209 Enrollment ID: I20100220000166 |
| Provider Name | Darren E Killen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114920295 PECOS PAC ID: 8325233489 Enrollment ID: I20101115000739 |
| Provider Name | Natalie M Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417248378 PECOS PAC ID: 1759568645 Enrollment ID: I20110601000581 |
| Provider Name | Ryan Craig Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801803259 PECOS PAC ID: 7315940483 Enrollment ID: I20120307000046 |
| Provider Name | Adam B Dobbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407286438 PECOS PAC ID: 7618106857 Enrollment ID: I20140210000739 |
| Provider Name | Catherine Gailloux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225474596 PECOS PAC ID: 3476775974 Enrollment ID: I20141118002469 |
| Provider Name | Marcia L Norwich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699081653 PECOS PAC ID: 9830344886 Enrollment ID: I20150506001267 |
| Provider Name | Allison J Lyles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891185187 PECOS PAC ID: 2769708270 Enrollment ID: I20150506001485 |
| Provider Name | Elisa M Van Daalen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861888380 PECOS PAC ID: 8921329194 Enrollment ID: I20150610000131 |
| Provider Name | Daniel J Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043691363 PECOS PAC ID: 2264747229 Enrollment ID: I20150820010476 |
| Provider Name | Jessica L Shelton-treece |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376808022 PECOS PAC ID: 9436306990 Enrollment ID: I20150826002303 |
| Provider Name | Shawn D Armes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568836575 PECOS PAC ID: 5597066969 Enrollment ID: I20151209002171 |
| Provider Name | Amanda F Cavlovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124373238 PECOS PAC ID: 1355658469 Enrollment ID: I20160511000277 |
| Provider Name | Justin S Lawing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235576752 PECOS PAC ID: 2860799285 Enrollment ID: I20160613001958 |
| Provider Name | Jana K Graber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982076592 PECOS PAC ID: 3173823408 Enrollment ID: I20170418001370 |
| Provider Name | Stephanie L Petralie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699291583 PECOS PAC ID: 6305103540 Enrollment ID: I20171127001618 |
| Provider Name | Ava M Ferreira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245208537 PECOS PAC ID: 5395751606 Enrollment ID: I20171128001613 |
| Provider Name | Erin L Buckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477733434 PECOS PAC ID: 1456431022 Enrollment ID: I20180521003133 |
| Provider Name | Dayna G Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639667041 PECOS PAC ID: 7315202918 Enrollment ID: I20180614001858 |
| Provider Name | Margaret Q Mesmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306350392 PECOS PAC ID: 1951668615 Enrollment ID: I20181011000196 |
| Provider Name | Kacy S Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265997290 PECOS PAC ID: 7719213131 Enrollment ID: I20190723003229 |
| Provider Name | Adam J Zerr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184041964 PECOS PAC ID: 3971729609 Enrollment ID: I20221012002960 |
| Provider Name | Stephanie Lynne Wesley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962994434 PECOS PAC ID: 9638428857 Enrollment ID: I20231207000467 |
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