| Mid America Gastro Intestinal Consultants P C | |
|
4321 Washington St Suite 5600 Kansas City MO 64111-5961 | |
| (816) 561-2000 | |
| Not Available |
| Full Name | Mid America Gastro Intestinal Consultants P C |
|---|---|
| Speciality | Internal Medicine |
| Location | 4321 Washington St, Kansas City, Missouri |
| Authorized Official Name and Position | Mark J Allen (PRESIDENT) |
| Authorized Official Contact | 8165612000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid America Gastro Intestinal Consultants P C 4321 Washington St Suite 5600 Kansas City MO 64111-5961 Ph: (816) 561-2000 | Mid America Gastro Intestinal Consultants P C 4321 Washington St Suite 5600 Kansas City MO 64111-5961 Ph: (816) 561-2000 |
| NPI Number | 1710091228 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 02/29/2024 |
| Medicare PECOS PAC ID | 3274558549 |
|---|---|
| Medicare Enrollment ID | O20051006000426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710091228 | NPI | - | NPPES |
| 13484018 | Other | BLUE CROSS BLUE SHIELD KC | |
| 506905702 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Sandra A Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437379534 PECOS PAC ID: 8820013196 Enrollment ID: I20051006000414 |
| Provider Name | Mark J Allen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457465163 PECOS PAC ID: 6305940990 Enrollment ID: I20070410000066 |
| Provider Name | Joseph E Mccullough |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770697302 PECOS PAC ID: 7113021700 Enrollment ID: I20070410000077 |
| Provider Name | Stephanie R Justin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467749481 PECOS PAC ID: 7012186414 Enrollment ID: I20110801000463 |
| Provider Name | Sakher M Albadarin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750670568 PECOS PAC ID: 6406084417 Enrollment ID: I20140122000015 |
| Provider Name | Hillary L Bownik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013147206 PECOS PAC ID: 2668652413 Enrollment ID: I20160329001482 |
| Provider Name | Charles W Mcmahon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861768053 PECOS PAC ID: 3577798339 Enrollment ID: I20210504001504 |
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