| Clay Platte Family Medicine Clinic | |
|
5501 Nw 62nd Ter Ste 100 Kansas City MO 64151-2412 | |
| (816) 842-4440 | |
| (816) 842-1974 |
| Full Name | Clay Platte Family Medicine Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 5501 Nw 62nd Ter Ste 100, Kansas City, Missouri |
| Authorized Official Name and Position | Scott H Kuennen (PRESIDENT) |
| Authorized Official Contact | 8168424440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clay Platte Family Medicine Clinic 5501 Nw 62nd Ter Ste 100 Kansas City MO 64151-2412 Ph: (816) 842-4440 | Clay Platte Family Medicine Clinic 5501 Nw 62nd Ter Ste 100 Kansas City MO 64151-2412 Ph: (816) 842-4440 |
| NPI Number | 1073570487 |
|---|---|
| Provider Enumeration Date | 04/28/2006 |
| Last Update Date | 10/25/2022 |
| Medicare PECOS PAC ID | 3173424231 |
|---|---|
| Medicare Enrollment ID | O20040120000899 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073570487 | NPI | - | NPPES |
| 505360107 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Provider Name | Thomas C Chapman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932167897 PECOS PAC ID: 8628020591 Enrollment ID: I20050218000580 |
| Provider Name | Kathleen M Eubanks-meng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669439097 PECOS PAC ID: 2567415300 Enrollment ID: I20050222000262 |
| Provider Name | Rebecca Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669469037 PECOS PAC ID: 9830128057 Enrollment ID: I20050809000045 |
| Provider Name | Amy E Brose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215964366 PECOS PAC ID: 3971603960 Enrollment ID: I20070703000721 |
| Provider Name | Adrian Joseph Delaney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619168051 PECOS PAC ID: 4385737527 Enrollment ID: I20070905000212 |
| Provider Name | Matthew W John |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841228814 PECOS PAC ID: 6406908813 Enrollment ID: I20090716000087 |
| Provider Name | Thomas D Kelley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710941554 PECOS PAC ID: 1850494253 Enrollment ID: I20100215000060 |
| Provider Name | Christopher L Kafka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629016704 PECOS PAC ID: 2163504440 Enrollment ID: I20100220000151 |
| Provider Name | Nathan D Granger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144288002 PECOS PAC ID: 9234030305 Enrollment ID: I20100618000055 |
| Provider Name | Paul M Joslin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073570412 PECOS PAC ID: 4981785003 Enrollment ID: I20100618000069 |
| Provider Name | Scott H Kuennen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972560324 PECOS PAC ID: 6709967821 Enrollment ID: I20100618000081 |
| Provider Name | Richard Ortiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467410290 PECOS PAC ID: 9436230554 Enrollment ID: I20100618000102 |
| Provider Name | Laura Danielle Keith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881652683 PECOS PAC ID: 9032241054 Enrollment ID: I20100709000434 |
| Provider Name | Emily J Lott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639115728 PECOS PAC ID: 5092839258 Enrollment ID: I20100825000843 |
| Provider Name | Heather Renee Bollinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023251949 PECOS PAC ID: 8527217066 Enrollment ID: I20120927000399 |
| Provider Name | Duana C Meseyton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457594921 PECOS PAC ID: 6002050085 Enrollment ID: I20130912000420 |
| Provider Name | Muhammad W Salam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689802381 PECOS PAC ID: 3072748573 Enrollment ID: I20140703000844 |
| Provider Name | Stephanie A Lersch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982055372 PECOS PAC ID: 0648562520 Enrollment ID: I20171129002100 |
| Provider Name | Rebecca A Poage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811539372 PECOS PAC ID: 3375971021 Enrollment ID: I20200312000875 |
| Provider Name | Megan E Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982162806 PECOS PAC ID: 6103232483 Enrollment ID: I20210311000534 |
| Provider Name | Wylie C De Vera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033307376 PECOS PAC ID: 0345484242 Enrollment ID: I20220928002223 |
| Provider Name | Grace Stephan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255714572 PECOS PAC ID: 4981994951 Enrollment ID: I20221019001392 |
| Provider Name | Josiah T Greer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689203580 PECOS PAC ID: 5294117248 Enrollment ID: I20230728001771 |
| Provider Name | Haley M Camejo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134757354 PECOS PAC ID: 3375967128 Enrollment ID: I20230816002365 |
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