| Swope Health Services | |
|
3801 Dr Martin Luther King Jr Blvd Kansas City MO 64130-2807 | |
| (816) 923-5800 | |
| Not Available |
| Full Name | Swope Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 3801 Dr Martin Luther King Jr Blvd, Kansas City, Missouri |
| Authorized Official Name and Position | Essence Montgomery (CFO) |
| Authorized Official Contact | 8165995683 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Swope Health Services 3801 Dr Martin Luther King Jr Blvd Kansas City MO 64130-2807 Ph: (816) 923-5800 | Swope Health Services 3801 Dr Martin Luther King Jr Blvd Kansas City MO 64130-2807 Ph: (816) 923-5800 |
| NPI Number | 1689760076 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 10/29/2024 |
| Medicare PECOS PAC ID | 5294644530 |
|---|---|
| Medicare Enrollment ID | O20040416000940 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689760076 | NPI | - | NPPES |
| 500586110 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Missouri) | Primary |
| Provider Name | Jennifer L Frost |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801835871 PECOS PAC ID: 5799779294 Enrollment ID: I20040408000848 |
| Provider Name | Julia Krishna Simmons |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922065275 PECOS PAC ID: 9931178621 Enrollment ID: I20040929000671 |
| Provider Name | Alma P Navato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932152543 PECOS PAC ID: 8224076682 Enrollment ID: I20050418000777 |
| Provider Name | Jackie W Tenney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073554820 PECOS PAC ID: 6507800570 Enrollment ID: I20050610000817 |
| Provider Name | Luke Wilson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053346452 PECOS PAC ID: 7618920836 Enrollment ID: I20050613001276 |
| Provider Name | Patrick M Otoole |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083656102 PECOS PAC ID: 7810931300 Enrollment ID: I20050615000758 |
| Provider Name | Richard G Kuckelman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285672758 PECOS PAC ID: 6608810106 Enrollment ID: I20050615000795 |
| Provider Name | Charles Horner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215970736 PECOS PAC ID: 7113961632 Enrollment ID: I20050615000918 |
| Provider Name | William Frederick Rees |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811952278 PECOS PAC ID: 7517992100 Enrollment ID: I20051003000498 |
| Provider Name | Dorothy Jean Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023004009 PECOS PAC ID: 0345261913 Enrollment ID: I20051209000731 |
| Provider Name | Connie Lynn Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518016922 PECOS PAC ID: 7810911088 Enrollment ID: I20060116000334 |
| Provider Name | Ronald R Weis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558396952 PECOS PAC ID: 9537177340 Enrollment ID: I20060405000561 |
| Provider Name | Janice K Beasley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871687517 PECOS PAC ID: 8729084009 Enrollment ID: I20061010000176 |
| Provider Name | Ratnesh Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194750828 PECOS PAC ID: 1658379151 Enrollment ID: I20061116000428 |
| Provider Name | John A Francis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821193228 PECOS PAC ID: 7618073735 Enrollment ID: I20070507000563 |
| Provider Name | Khursheed Zia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003931742 PECOS PAC ID: 6204929078 Enrollment ID: I20070910000887 |
| Provider Name | Nallu H Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750373163 PECOS PAC ID: 1052498201 Enrollment ID: I20080411000435 |
| Provider Name | Tisha D Anyanike |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144370750 PECOS PAC ID: 3173626017 Enrollment ID: I20080411000666 |
| Provider Name | Cheryl A Bleier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205011079 PECOS PAC ID: 8527147404 Enrollment ID: I20080502000548 |
| Provider Name | Samuel O Fadare |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184685802 PECOS PAC ID: 7012914997 Enrollment ID: I20090211000649 |
| Provider Name | Chitra Chinnaswamy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740388933 PECOS PAC ID: 7719030147 Enrollment ID: I20090803000722 |
| Provider Name | Emily C. Day |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1063487387 PECOS PAC ID: 0941354765 Enrollment ID: I20090813000285 |
| Provider Name | Timothy J Mihalovich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497779961 PECOS PAC ID: 2860499290 Enrollment ID: I20100116000148 |
| Provider Name | Kenneth R Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023066651 PECOS PAC ID: 0840325221 Enrollment ID: I20100324000574 |
| Provider Name | Rachel M Whitfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700116241 PECOS PAC ID: 0840327417 Enrollment ID: I20100430000143 |
| Provider Name | Corey W Chopra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528118106 PECOS PAC ID: 2961596499 Enrollment ID: I20100820000908 |
| Provider Name | Bela Satija |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891896627 PECOS PAC ID: 5496754384 Enrollment ID: I20100907000723 |
| Provider Name | Marla Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881928703 PECOS PAC ID: 2466577721 Enrollment ID: I20100910000419 |
| Provider Name | Mary Cowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073834271 PECOS PAC ID: 1153447149 Enrollment ID: I20100928000284 |
| Provider Name | Aniika R Jackson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1528254398 PECOS PAC ID: 7911177134 Enrollment ID: I20110825000765 |
| Provider Name | Marquita D Mays |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1790784023 PECOS PAC ID: 3678744083 Enrollment ID: I20110915000296 |
| Provider Name | Edis Wu |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1437386372 PECOS PAC ID: 6204007628 Enrollment ID: I20110915000324 |
| Provider Name | David L Ewing |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1932387834 PECOS PAC ID: 7810168234 Enrollment ID: I20110915000354 |
| Provider Name | Dhanalakshmi Rengachary |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205819257 PECOS PAC ID: 8224201900 Enrollment ID: I20111025000027 |
| Provider Name | Fatemeh Tayebi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376673962 PECOS PAC ID: 8921272683 Enrollment ID: I20111116000146 |
| Provider Name | Otis S Latimer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033116058 PECOS PAC ID: 1658280995 Enrollment ID: I20111203000173 |
| Provider Name | Chynwe Ahumaraeze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942572540 PECOS PAC ID: 3678732740 Enrollment ID: I20120308000552 |
| Provider Name | Matthew Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407112204 PECOS PAC ID: 1456515444 Enrollment ID: I20120601000380 |
| Provider Name | Cameron Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871731133 PECOS PAC ID: 3072777275 Enrollment ID: I20120620000366 |
| Provider Name | Ellen O Ekuase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316200132 PECOS PAC ID: 4385896133 Enrollment ID: I20121130000556 |
| Provider Name | Melissa J Storms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245588029 PECOS PAC ID: 9234383175 Enrollment ID: I20130131000271 |
| Provider Name | Andrea Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235477522 PECOS PAC ID: 7810132776 Enrollment ID: I20130325000135 |
| Provider Name | Martin F Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710257449 PECOS PAC ID: 6406018654 Enrollment ID: I20130412000631 |
| Provider Name | Tarek I Abu-rajab Tamimi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689840282 PECOS PAC ID: 1557503257 Enrollment ID: I20130808000655 |
| Provider Name | Deepak Rajpoot |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093942864 PECOS PAC ID: 7012184534 Enrollment ID: I20131015001724 |
| Provider Name | Chika E Okafor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174969448 PECOS PAC ID: 9133355654 Enrollment ID: I20131111001412 |
| Provider Name | Andrew C Medlin |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1851738975 PECOS PAC ID: 4284862996 Enrollment ID: I20131231001549 |
| Provider Name | Daniel Gillen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447671060 PECOS PAC ID: 4587896840 Enrollment ID: I20140421000715 |
| Provider Name | Malachi Oledibe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275607863 PECOS PAC ID: 8325115512 Enrollment ID: I20140501000498 |
| Provider Name | Vincent Parsons |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124010194 PECOS PAC ID: 3779701545 Enrollment ID: I20140820002388 |
| Provider Name | Stephanie S Wilhoit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992146187 PECOS PAC ID: 6901026434 Enrollment ID: I20141006001768 |
| Provider Name | Marquetta L Sims Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134169584 PECOS PAC ID: 3870714231 Enrollment ID: I20141028002013 |
| Provider Name | Meredith H Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518361732 PECOS PAC ID: 1153643010 Enrollment ID: I20141203001266 |
| Provider Name | Rita M Burnett |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1770577686 PECOS PAC ID: 9234452301 Enrollment ID: I20141222000065 |
| Provider Name | Amanda Gillespie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477942092 PECOS PAC ID: 9638494537 Enrollment ID: I20150218000790 |
| Provider Name | Allyssa C Plymell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629469846 PECOS PAC ID: 9638496987 Enrollment ID: I20150325000589 |
| Provider Name | Cassey L Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255722450 PECOS PAC ID: 3971821422 Enrollment ID: I20150413000859 |
| Provider Name | Sonia Kalia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366824468 PECOS PAC ID: 7214240878 Enrollment ID: I20150724012360 |
| Provider Name | Deborah Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841674132 PECOS PAC ID: 7911214986 Enrollment ID: I20150923003060 |
| Provider Name | Charlyne Mason-dozier |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1811901127 PECOS PAC ID: 1456264993 Enrollment ID: I20151014001448 |
| Provider Name | Victoria Gunn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295104677 PECOS PAC ID: 8022328525 Enrollment ID: I20151113000198 |
| Provider Name | Rachel Melson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023487188 PECOS PAC ID: 1456654508 Enrollment ID: I20160122001046 |
| Provider Name | Charles Cox |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1629440771 PECOS PAC ID: 1951604008 Enrollment ID: I20160122001238 |
| Provider Name | Jeffrey S Crowley |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1255777330 PECOS PAC ID: 8022311182 Enrollment ID: I20160122001669 |
| Provider Name | Brady W Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780945295 PECOS PAC ID: 3870800832 Enrollment ID: I20160126000431 |
| Provider Name | Heidi A Heiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639415441 PECOS PAC ID: 4587809777 Enrollment ID: I20160201002832 |
| Provider Name | Chelsea L Phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144603119 PECOS PAC ID: 6507160769 Enrollment ID: I20160209000250 |
| Provider Name | Stephane L Desouches |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083970602 PECOS PAC ID: 1850692013 Enrollment ID: I20160212002204 |
| Provider Name | Brynn Houghton White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598124430 PECOS PAC ID: 0941506596 Enrollment ID: I20160309000216 |
| Provider Name | Radhika Veerapaneni |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841284296 PECOS PAC ID: 2961700570 Enrollment ID: I20160415000180 |
| Provider Name | Arezo Hesaraki |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1174928857 PECOS PAC ID: 3577852417 Enrollment ID: I20160518000634 |
| Provider Name | Roaslyn Anderson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1841674660 PECOS PAC ID: 4082905245 Enrollment ID: I20160617000545 |
| Provider Name | Tiffany Yelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548615073 PECOS PAC ID: 9830481928 Enrollment ID: I20160711001304 |
| Provider Name | Derek E Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801169370 PECOS PAC ID: 7810299658 Enrollment ID: I20160727000108 |
| Provider Name | Mandy Lueck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619216678 PECOS PAC ID: 1759512783 Enrollment ID: I20160804000943 |
| Provider Name | Luningning Ocampo Haluck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275891392 PECOS PAC ID: 1153642269 Enrollment ID: I20160916001186 |
| Provider Name | Nalinakshi Tella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386809598 PECOS PAC ID: 7911297403 Enrollment ID: I20160916002302 |
| Provider Name | Jayme L Decker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184036295 PECOS PAC ID: 8628370590 Enrollment ID: I20161010001951 |
| Provider Name | Fallon A Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871040006 PECOS PAC ID: 8921396391 Enrollment ID: I20161018001655 |
| Provider Name | Megan L Krohn |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1740638782 PECOS PAC ID: 9931494713 Enrollment ID: I20161117002456 |
| Provider Name | Jennifer M Serrano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205370244 PECOS PAC ID: 2365724804 Enrollment ID: I20170118002277 |
| Provider Name | Alicia C Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124563275 PECOS PAC ID: 0840572855 Enrollment ID: I20170127001537 |
| Provider Name | William A Trout |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1699816348 PECOS PAC ID: 1850676628 Enrollment ID: I20170316002218 |
| Provider Name | Amy Elizabeth Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851823694 PECOS PAC ID: 7517236417 Enrollment ID: I20170710001128 |
| Provider Name | Kapil K Aedma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437438249 PECOS PAC ID: 3072810373 Enrollment ID: I20170821001753 |
| Provider Name | Naiomi Jamal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770848293 PECOS PAC ID: 3577836360 Enrollment ID: I20170830000058 |
| Provider Name | Daniel M Margolis |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1700235207 PECOS PAC ID: 1456646249 Enrollment ID: I20170906002528 |
| Provider Name | Yamila C Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033637020 PECOS PAC ID: 2466718473 Enrollment ID: I20171108000333 |
| Provider Name | Alison R Clifford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043718760 PECOS PAC ID: 7416217609 Enrollment ID: I20180208000839 |
| Provider Name | Timothy A Nordloff |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1710117221 PECOS PAC ID: 3870888654 Enrollment ID: I20180323000226 |
| Provider Name | Brianna Hoisington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417457565 PECOS PAC ID: 4183989429 Enrollment ID: I20180607001650 |
| Provider Name | Molly Oligbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437646650 PECOS PAC ID: 8921363292 Enrollment ID: I20180607002497 |
| Provider Name | Walter N George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245725639 PECOS PAC ID: 2567710064 Enrollment ID: I20180731001758 |
| Provider Name | Pamela Marie Bevan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164635637 PECOS PAC ID: 0749355600 Enrollment ID: I20180809005074 |
| Provider Name | Nidhi Gupta |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1780737627 PECOS PAC ID: 3375841380 Enrollment ID: I20190315001765 |
| Provider Name | Michael Kipruto Ngetich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447717665 PECOS PAC ID: 0345582201 Enrollment ID: I20190425002134 |
| Provider Name | Tara T Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174081715 PECOS PAC ID: 9436490901 Enrollment ID: I20190515001739 |
| Provider Name | Mahmoud Halawa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790230704 PECOS PAC ID: 1850628363 Enrollment ID: I20190806004332 |
| Provider Name | Juan Kim |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1356717987 PECOS PAC ID: 9830492388 Enrollment ID: I20190815000732 |
| Provider Name | Samantha Hindupur |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1043520224 PECOS PAC ID: 0143519629 Enrollment ID: I20190821000739 |
| Provider Name | Shawn Boehm |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1902397250 PECOS PAC ID: 2567719040 Enrollment ID: I20190821000833 |
| Provider Name | Richard S Campos |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1710530464 PECOS PAC ID: 4587992029 Enrollment ID: I20190822000914 |
| Provider Name | Senait E Gebreab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861044737 PECOS PAC ID: 0345579181 Enrollment ID: I20190904002239 |
| Provider Name | Susan Mwirigi Gunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417503186 PECOS PAC ID: 3577894468 Enrollment ID: I20191007003588 |
| Provider Name | Christopher S Jozwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720640782 PECOS PAC ID: 8921334160 Enrollment ID: I20191015002570 |
| Provider Name | Worku A Metaferia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437500972 PECOS PAC ID: 1557640158 Enrollment ID: I20191028001649 |
| Provider Name | Deste D Baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639638125 PECOS PAC ID: 4981936473 Enrollment ID: I20191104000254 |
| Provider Name | Lindsey N Ackerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669016424 PECOS PAC ID: 7416381678 Enrollment ID: I20191220000582 |
| Provider Name | Priscilla Schmid |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730535360 PECOS PAC ID: 3274954615 Enrollment ID: I20200610002572 |
| Provider Name | Khiara C Drew |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1326407420 PECOS PAC ID: 7911279567 Enrollment ID: I20201006000510 |
| Provider Name | Donnica Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730786682 PECOS PAC ID: 9133549314 Enrollment ID: I20201009001803 |
| Provider Name | Mindy L Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578170692 PECOS PAC ID: 3971914086 Enrollment ID: I20201120002469 |
| Provider Name | Redempta Bekah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518550680 PECOS PAC ID: 6800171083 Enrollment ID: I20210330000313 |
| Provider Name | Camille R Pellegrino |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1700262318 PECOS PAC ID: 1850600305 Enrollment ID: I20210609000088 |
| Provider Name | Emily N Moe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184294605 PECOS PAC ID: 0840695417 Enrollment ID: I20210819001440 |
| Provider Name | Ian J Huxford |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1285296996 PECOS PAC ID: 7113341405 Enrollment ID: I20210823000632 |
| Provider Name | Taryn Gort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912461997 PECOS PAC ID: 8224438569 Enrollment ID: I20210823002228 |
| Provider Name | Saba Yousaf |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1477189447 PECOS PAC ID: 1850796244 Enrollment ID: I20210824000107 |
| Provider Name | Noureddin Taffal |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1740698257 PECOS PAC ID: 1052652542 Enrollment ID: I20210902000463 |
| Provider Name | Betty Ann Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922490101 PECOS PAC ID: 7113203530 Enrollment ID: I20211015000135 |
| Provider Name | Ehsan Sadighara |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1033597430 PECOS PAC ID: 4183013584 Enrollment ID: I20211108001645 |
| Provider Name | Susannah L Reed |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316321078 PECOS PAC ID: 7911209671 Enrollment ID: I20211216002183 |
| Provider Name | Mama L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073285433 PECOS PAC ID: 0446643183 Enrollment ID: I20220202000537 |
| Provider Name | Jacqueline Regan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952885428 PECOS PAC ID: 0840683793 Enrollment ID: I20220217000460 |
| Provider Name | Eberechukwu Okpareke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003567652 PECOS PAC ID: 2769876671 Enrollment ID: I20220218000456 |
| Provider Name | Sarah Prest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407502040 PECOS PAC ID: 2668868811 Enrollment ID: I20220415000355 |
| Provider Name | Shanna M Foley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639839822 PECOS PAC ID: 5395123269 Enrollment ID: I20220606000623 |
| Provider Name | Alan M Krebs |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1700267812 PECOS PAC ID: 8325344211 Enrollment ID: I20220718000553 |
| Provider Name | Ashley M Brinker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194460386 PECOS PAC ID: 0446633465 Enrollment ID: I20220823003597 |
| Provider Name | Karleen L Trefil |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1558560607 PECOS PAC ID: 4880077809 Enrollment ID: I20220823003726 |
| Provider Name | Amanda Marie Rosenbaum-oude Alink |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912215864 PECOS PAC ID: 0446634620 Enrollment ID: I20220907003190 |
| Provider Name | Jacquelyn Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699238204 PECOS PAC ID: 3476888223 Enrollment ID: I20220930000580 |
| Provider Name | Shelby Shanae Luster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023767811 PECOS PAC ID: 8921474701 Enrollment ID: I20221019001406 |
| Provider Name | Jesse B Merino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891417614 PECOS PAC ID: 7214303882 Enrollment ID: I20221022000195 |
| Provider Name | Shelby Massey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871157552 PECOS PAC ID: 4981072006 Enrollment ID: I20221122000713 |
| Provider Name | Sonal Sood |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1396128161 PECOS PAC ID: 4284002262 Enrollment ID: I20221123000838 |
| Provider Name | Heather Newhard |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992049720 PECOS PAC ID: 4880900471 Enrollment ID: I20230104001362 |
| Provider Name | Rushi K Patel |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1952869844 PECOS PAC ID: 8527480698 Enrollment ID: I20230302000543 |
| Provider Name | Jacob Holtzman |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1184116071 PECOS PAC ID: 6406220938 Enrollment ID: I20230323000393 |
| Provider Name | Tamara E White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104410059 PECOS PAC ID: 0840655213 Enrollment ID: I20230509000133 |
| Provider Name | Shea Durington |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1952864910 PECOS PAC ID: 3577923416 Enrollment ID: I20230724002341 |
| Provider Name | Leslie A Falcon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447612619 PECOS PAC ID: 0143518712 Enrollment ID: I20230929000388 |
| Provider Name | Elizabeth B Daily |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508278367 PECOS PAC ID: 5597031989 Enrollment ID: I20231106000934 |
| Provider Name | Joshua C Trillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013699420 PECOS PAC ID: 6103273966 Enrollment ID: I20231115003619 |
| Provider Name | Jazmine Ayana Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457975625 PECOS PAC ID: 0840605267 Enrollment ID: I20231214001009 |
| Provider Name | Mohammed Nuru |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1447804091 PECOS PAC ID: 8921434499 Enrollment ID: I20240206004283 |
| Provider Name | Donald G Lang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598838542 PECOS PAC ID: 4981040359 Enrollment ID: I20240307001515 |
| Provider Name | Tyneisha S Orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841900073 PECOS PAC ID: 7810337730 Enrollment ID: I20240425002220 |
| Provider Name | Sofia Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528365202 PECOS PAC ID: 1052750486 Enrollment ID: I20240430002995 |
| Provider Name | Arnold F Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982460507 PECOS PAC ID: 9436599818 Enrollment ID: I20240502000904 |
| Provider Name | Brandon Golub |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1285219394 PECOS PAC ID: 8022405588 Enrollment ID: I20240820000868 |
| Provider Name | Zara Abdush-shakir Bever |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265283923 PECOS PAC ID: 3375087810 Enrollment ID: I20240820001387 |
| Provider Name | Frank Blacknall |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1982681540 PECOS PAC ID: 1557895463 Enrollment ID: I20241114004145 |
| Provider Name | Arianna D Jackson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1932760303 PECOS PAC ID: 8628307477 Enrollment ID: I20241114004227 |
| Provider Name | Valery C Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871529065 PECOS PAC ID: 1153350616 Enrollment ID: I20241120000606 |
| Provider Name | Safiya Mcneese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962818823 PECOS PAC ID: 6901024579 Enrollment ID: I20250319000567 |
| Provider Name | Anna Marie Cameron |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1851592695 PECOS PAC ID: 3274967492 Enrollment ID: I20250319001021 |
| Provider Name | Natalie Grady |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659854305 PECOS PAC ID: 7315469368 Enrollment ID: I20250319001211 |
| Provider Name | Michaela Marie Voss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932425378 PECOS PAC ID: 5698082212 Enrollment ID: I20250319001560 |
| Provider Name | Karen Lane |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043918600 PECOS PAC ID: 1254855786 Enrollment ID: I20250407001648 |
| Provider Name | Virginia Vanderford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417795154 PECOS PAC ID: 2961926365 Enrollment ID: I20250407003450 |
| Provider Name | Natalie Hacker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366270894 PECOS PAC ID: 0143744425 Enrollment ID: I20250408002278 |
Plaza Primary Care And Geriatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4440 Broadway, Kansas City, MO 64111 Phone: 816-561-9200 Fax: 816-561-5766 | |
Bannister Internal Medicine Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9520 James A Reed Rd, Suite B, Kansas City, MO 64134 Phone: 816-599-6317 Fax: 816-599-6319 | |
Elevating Care Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2340 E. Meyer Blvd, 208, Kansas City, MO 64132 Phone: 816-665-6124 | |
Gateway Spine And Joint Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 W 47th St Ste 514, Kansas City, MO 64112 Phone: 816-216-7054 Fax: 816-216-6010 | |
Midwest Neurosurgery Associates, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6420 Prospect Ave, Suite T411, Kansas City, MO 64132 Phone: 816-363-2500 Fax: 816-363-8741 | |
James E Gracheck, D O P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 W 72nd St, Kansas City, MO 64114 Phone: 816-444-0025 Fax: 816-444-0007 | |
Medstaffpc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2360 Armour Rd, Kansas City, MO 64116 Phone: 816-214-6852 Fax: 539-777-2506 |