| Kansas Medical Professionals Llc | |
| 
					9100 W 74th St Shawnee Mission KS 66204-4004  | |
| (913) 676-2000 | |
| Not Available | 
| Full Name | Kansas Medical Professionals Llc | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 9100 W 74th St, Shawnee Mission, Kansas | 
| Authorized Official Name and Position | Brett R Hailey (PRESIDENT) | 
| Authorized Official Contact | 9136762214 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kansas Medical Professionals Llc 6300 Ridglea Pl Ste 201 Fort Worth TX 76116-5707 Ph: (817) 451-4208  | Kansas Medical Professionals Llc 9100 W 74th St Shawnee Mission KS 66204-4004 Ph: (913) 676-2000  | 
| NPI Number | 1629778766 | 
|---|---|
| Provider Enumeration Date | 03/07/2023 | 
| Last Update Date | 07/10/2023 | 
| Medicare PECOS PAC ID | 6800261181 | 
|---|---|
| Medicare Enrollment ID | O20230419001909 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1629778766 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary | 
| Provider Name | Michael T Prater | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1538103940 PECOS PAC ID: 1052213550 Enrollment ID: I20040602000871  | 
| Provider Name | Darren A Boyack | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1750374724 PECOS PAC ID: 3870541816 Enrollment ID: I20050926001239  | 
| Provider Name | Ryan C Reeves | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1770584310 PECOS PAC ID: 1254322092 Enrollment ID: I20051101001042  | 
| Provider Name | John S Bradley | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1801018536 PECOS PAC ID: 2769557610 Enrollment ID: I20080812000724  | 
| Provider Name | Brett R Hailey | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1063411916 PECOS PAC ID: 3375553092 Enrollment ID: I20081030000388  | 
| Provider Name | Lorene R Creasser | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1013156736 PECOS PAC ID: 4688725781 Enrollment ID: I20090701000275  | 
| Provider Name | Timothy J Chilcote | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1841224946 PECOS PAC ID: 6002960176 Enrollment ID: I20090825000186  | 
| Provider Name | Sara E Cross | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1821148123 PECOS PAC ID: 8123195617 Enrollment ID: I20090825000286  | 
| Provider Name | Otis E Miller | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1518968155 PECOS PAC ID: 0244296879 Enrollment ID: I20100630000785  | 
| Provider Name | Maria L Petersen | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1518256171 PECOS PAC ID: 6406032895 Enrollment ID: I20110519000484  | 
| Provider Name | David M Finkle | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1336362953 PECOS PAC ID: 7113051863 Enrollment ID: I20110912000381  | 
| Provider Name | Ashley Ferguson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1790061968 PECOS PAC ID: 1153571237 Enrollment ID: I20121025000801  | 
| Provider Name | Anna M Ramirez | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1932468550 PECOS PAC ID: 8325299159 Enrollment ID: I20121103000085  | 
| Provider Name | Sheila M Alton | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1124029640 PECOS PAC ID: 1052448016 Enrollment ID: I20130826000974  | 
| Provider Name | William B Kruse | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1851329908 PECOS PAC ID: 2668530676 Enrollment ID: I20140214001638  | 
| Provider Name | William B Jewell | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1659771277 PECOS PAC ID: 3577785468 Enrollment ID: I20141110000122  | 
| Provider Name | Dustin W Keffer | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1992062129 PECOS PAC ID: 6305159708 Enrollment ID: I20150714001858  | 
| Provider Name | Grady Thiems | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1245506229 PECOS PAC ID: 6103046040 Enrollment ID: I20150729007767  | 
| Provider Name | Rebecca N Messerli | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1073672499 PECOS PAC ID: 9537259130 Enrollment ID: I20150831000538  | 
| Provider Name | Sean E Fulton | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1639178668 PECOS PAC ID: 3577620210 Enrollment ID: I20150915000397  | 
| Provider Name | Beau A Butherus | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1467751032 PECOS PAC ID: 0840421277 Enrollment ID: I20160620001139  | 
| Provider Name | Elliott A Fried | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1568806842 PECOS PAC ID: 8325349129 Enrollment ID: I20160701000284  | 
| Provider Name | James A Mitts | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1184069957 PECOS PAC ID: 4082924865 Enrollment ID: I20160707001513  | 
| Provider Name | Katherine L Walden | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1598219396 PECOS PAC ID: 3476849282 Enrollment ID: I20160902001391  | 
| Provider Name | Behnam Raisdana | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1356695001 PECOS PAC ID: 1759698798 Enrollment ID: I20170109000232  | 
| Provider Name | Stephanie Anne Padley | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1962749887 PECOS PAC ID: 6901044155 Enrollment ID: I20170510000619  | 
| Provider Name | Dane C Boyack | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1649682303 PECOS PAC ID: 2961797907 Enrollment ID: I20170518000104  | 
| Provider Name | Stephanie Thom | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1013336320 PECOS PAC ID: 6709166853 Enrollment ID: I20170825002498  | 
| Provider Name | Nathaniel S Brackett | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1457314429 PECOS PAC ID: 2365419264 Enrollment ID: I20170914002686  | 
| Provider Name | Nicholas S Hosey | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1235576125 PECOS PAC ID: 5294033965 Enrollment ID: I20171201001720  | 
| Provider Name | Travis L Thibault | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1861990566 PECOS PAC ID: 8224391537 Enrollment ID: I20180503001236  | 
| Provider Name | Christine A Mary | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1912541939 PECOS PAC ID: 4981039765 Enrollment ID: I20200124002014  | 
| Provider Name | Seth A Atchison | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1407397615 PECOS PAC ID: 6507138302 Enrollment ID: I20200824002801  | 
| Provider Name | Morgan Smith | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1568826022 PECOS PAC ID: 2769778612 Enrollment ID: I20200911000589  | 
| Provider Name | James Arpin | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1497250880 PECOS PAC ID: 5496003097 Enrollment ID: I20210628001078  | 
| Provider Name | Karl F Hesson | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1992200695 PECOS PAC ID: 9133522824 Enrollment ID: I20210816001178  | 
| Provider Name | Leslee M Brady | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1154990109 PECOS PAC ID: 3678961158 Enrollment ID: I20211103000175  | 
| Provider Name | Shane Kevin Giannetti | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1295298651 PECOS PAC ID: 5890020499 Enrollment ID: I20220622001075  | 
| Provider Name | Geoffrey S Digiacinto | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1154881498 PECOS PAC ID: 4981931375 Enrollment ID: I20220627001830  | 
| Provider Name | Thaison Tran | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1063739308 PECOS PAC ID: 3173769916 Enrollment ID: I20220713001827  | 
| Provider Name | Sara Abben | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1760105274 PECOS PAC ID: 8022484781 Enrollment ID: I20221020001731  | 
| Provider Name | Jayme Catherine Troup | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1720795164 PECOS PAC ID: 4183095540 Enrollment ID: I20230121000064  | 
| Provider Name | Tori P Hinderliter | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1487369492 PECOS PAC ID: 9032572516 Enrollment ID: I20230831000192  | 
| Provider Name | Jessica D Scofield | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1568088847 PECOS PAC ID: 5799108858 Enrollment ID: I20230831000465  | 
| Provider Name | Gregory E Bowlin | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1588927420 PECOS PAC ID: 6901258201 Enrollment ID: I20240123002263  | 
John B. Sturgeon M.d. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8800 W 75th St, Ste 310, Shawnee Mission, KS 66204 Phone: 913-671-7803 Fax: 913-722-0012  | |
Ammar Khalifa, M.d., L.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8901 W 74th St, Suite 147, Shawnee Mission, KS 66204 Phone: 913-432-8400 Fax: 913-432-8402  | |
Wellspring Healthcare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12700 Antioch Rd, Shawnee Mission, KS 66213 Phone: 909-815-3324  | |
Health Partnership Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9119 W 74th St, Ste 210, Shawnee Mission, KS 66204 Phone: 913-648-2266  | |
Thomas W. Fulbright M.d. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8901 W 74th St, Shawnee Mission, KS 66204 Phone: 913-261-2222 Fax: 913-261-2229  |