CARDIAC CIN OF KANSAS CITY LLC (NPI# 1275032286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275032286 |
| Entity Type | Organization |
| Organization Name | CARDIAC CIN OF KANSAS CITY LLC |
| Practice Address |
111 W 10th St Ste 103 Kansas City MO 64105-1700 |
| Mailing Address |
102 Woodmont Blvd Ste 350 Nashville TN 37205-2216 |
| Practice Telephone | 6153860064 |
| Practice Fax Number | 6153860067 |
| Mailing Telephone | 6153860064 |
| Mailing Fax Number | 6153860067 |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | EADIE LELAND HUTTON EADIE (DIRECTOR) |
| Authorized Official Telephone | 6157332064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MO | Allopathic & Osteopathic Physicians | |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MO | Allopathic & Osteopathic Physicians |
| Street Address |
111 W 10TH ST STE 103 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64105-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730641895 | Cmo Care of Mo II, LLC | Internal Medicine | 111 W 10th St Ste 103, Kansas City, MO 64105-1700 | 2019-04-05 |
| 1265994321 | Cmo Care of Mo, LLC | Internal Medicine | 111 W 10th St Ste 103, Kansas City, MO 64105-1700 | 2019-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851457469 | Midamerica Alliance for Access Corporation | Case Management | 311 Delaware St., #102 #a, Kansas City, MO 64105 | 2006-12-28 |
| 1396352753 | Alexis Cornelio | Pharmacist | 425 Washington St Apt 409, Kansas City, MO 64105-1115 | 2020-09-29 |
| 1295243475 | Nikita Shah | Dentist | 210 W 5th St Apt 101, Kansas City, MO 64105-1165 | 2018-01-22 |
| 1225541477 | Access Personal Care | Case Management | 311 Delaware St # 102a, Kansas City, MO 64105-1215 | 2017-11-09 |
| 1396803748 | Wray Robert Williams | Chiropractor | 317 Delaware St, Kansas City, MO 64105-1215 | 2006-12-05 |
| 1710599287 | River Market Dental LLC | Clinic/Center | 317 Delaware St, Kansas City, MO 64105-1215 | 2020-08-17 |
| 1316417413 | Accelerated Medical Distributing, LLC | Durable Medical Equipment & Medical Supplies | 311 Delaware St # 102a, Kansas City, MO 64105-1215 | 2018-11-30 |
| 1346731122 | John Tyler Zagorec | Dentist | 317 Delaware St, Kansas City, MO 64105-1215 | 2018-05-29 |
| 1427555051 | Scripted Healthcare System | Durable Medical Equipment & Medical Supplies | 311 Delaware St # 102a, Kansas City, MO 64105-1215 | 2018-04-10 |
| 1093220766 | Access Personal Care LLC | In Home Supportive Care | 311 Delaware St # 102a, Kansas City, MO 64105-1215 | 2017-12-04 |
| Find all providers in zip 64105 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083010458 | Mancina Cardiovascular Medicine | Internal Medicine | 1601 Washington Blvd, Kansas City, KS 66102-2841 | 2014-11-13 |
| 1528407822 | Justin Patrick Sheehy | Internal Medicine | 4401 Wornall Rd Fl 9, Kansas City, MO 64111-3220 | 2013-06-19 |
| 1952643520 | Meritas Health Corporation | Internal Medicine | 5501 Nw 62nd Ter Ste 201, Kansas City, MO 64151-2408 | 2013-03-21 |
| 1376839894 | Chetan P Huded | Internal Medicine | 5844 Nw Barry Rd Ste 230, Kansas City, MO 64154-1421 | 2011-06-22 |
| 1689835084 | Bangalore V Deepak | Internal Medicine | 6420 Prospect Ave Ste T101, Kansas City, MO 64132 | 2008-06-19 |
| 1144499096 | Dennis Robert Bresnahan Jr. | Internal Medicine | 2000 Baltimore Avenue, Suite 400, Kansas City, MO 64108-1943 | 2008-02-25 |
| 1932300217 | Joseph Goldstrich | Internal Medicine | 333 W 46th Ter, Apt 209, Kansas City, MO 64112-1545 | 2007-05-31 |
| 1356454912 | Thomas L Rosamond | Internal Medicine | 4000 Cambrodge Street Ste G600, Kansas City, KS 66160-8501 | 2006-08-17 |
| 1164434577 | Steven D Owens | Internal Medicine | 4000 Cambridge St # G600, Kansas City, KS 66160-8501 | 2006-08-13 |
| 1245241017 | Marina N Hannen | Internal Medicine | 4000 Cambridge St Ste 600, Kansas City, KS 66160-8500 | 2006-08-10 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64105 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.