| Kansas City Gastroenterology And Hepatology,llc | |
|
6675 Holmes Rd Ste 430 Kansas City MO 64131-1167 | |
| (816) 361-0055 | |
| (816) 361-5775 |
| Full Name | Kansas City Gastroenterology And Hepatology,llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6675 Holmes Rd Ste 430, Kansas City, Missouri |
| Authorized Official Name and Position | Bradley Lawrence Freilich (OWNER) |
| Authorized Official Contact | 8165094999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kansas City Gastroenterology And Hepatology,llc 6675 Holmes Rd Ste 430 Kansas City MO 64131-1167 Ph: (816) 361-0055 | Kansas City Gastroenterology And Hepatology,llc 6675 Holmes Rd Ste 430 Kansas City MO 64131-1167 Ph: (816) 361-0055 |
| NPI Number | 1750415436 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 09/24/2020 |
| Medicare PECOS PAC ID | 6204827470 |
|---|---|
| Medicare Enrollment ID | O20040518001431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750415436 | NPI | - | NPPES |
| 500543806 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 101715 (Missouri) | Primary |
| Provider Name | Paresh R Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386750073 PECOS PAC ID: 4385627207 Enrollment ID: I20070127000023 |
| Provider Name | Bradley Lawrence Freilich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659424810 PECOS PAC ID: 5890746655 Enrollment ID: I20080815000183 |
| Provider Name | Oyinkan O Penny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417231796 PECOS PAC ID: 5597939579 Enrollment ID: I20111201000463 |
| Provider Name | Janay A Kissinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669525721 PECOS PAC ID: 0840320099 Enrollment ID: I20120114000043 |
| Provider Name | Lauren B Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801353412 PECOS PAC ID: 0648511774 Enrollment ID: I20190417002508 |
| Provider Name | Victoria Lauren Wassner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285263632 PECOS PAC ID: 7416373154 Enrollment ID: I20200812002641 |
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