CRADLE THRU COLLEGE CARE, LLC (NPI# 1649408287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649408287 |
| Entity Type | Organization |
| Organization Name | CRADLE THRU COLLEGE CARE, LLC |
| Other Organization Name | CRADLE THRU COLLEGE CARE URGENT CARE |
| Practice Address |
1004 Carondelet Dr Suite 310 Kansas City MO 64114-4801 |
| Practice Telephone | 8169425437 |
| Practice Fax Number | 8169424830 |
| Mailing Telephone | 8169425437 |
| Mailing Fax Number | 8169424830 |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2009-06-22 |
| Authorized Official Name | KURT METZL (MANAGING PARTNER) |
| Authorized Official Telephone | 8169425437 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | CRADLE THRU COLLEGE CARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Cradle Thru College Care Urgent Care | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760584999 | Cradle Thru College Care, LLC | Pediatrics | 1004 Carondelet Dr, Suite 310, Kansas City, MO 64114 | 2006-09-01 |
| Street Address |
1004 CARONDELET DR SUITE 310 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64114-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538163035 | Colleen M Maynard | Obstetrics & Gynecology | 1004 Carondelet Dr, Ste 407, Kansas City, MO 64114-4836 | 2005-06-13 |
| 1881041549 | Kansas City Family Allergy,llc | Allergy & Immunology | 1004 Carondelet Dr, Suite 335, Kansas City, MO 64114-4801 | 2016-05-23 |
| 1700277589 | Prime Healthcare Services - Kansas City LLC | Pharmacy | 1004 Carondelet Dr, Suite 120, Kansas City, MO 64114-4801 | 2015-02-14 |
| 1972912152 | Callie Labeth | Nurse Practitioner | 1004 Carondelet Dr, Suite 410, Kansas City, MO 64114-4801 | 2014-08-12 |
| 1851651285 | Putul Murarka Allen | Pediatrics | 1004 Carondelet Dr, Ste 310, Kansas City, MO 64114-4801 | 2012-05-18 |
| 1093005423 | Becky Graham, D.o., P.C. | Obstetrics & Gynecology | 1004 Carondelet Dr, Suite 460, Kansas City, MO 64114-4801 | 2011-04-19 |
| 1245474386 | Vanessa N. Johnson | Physician Assistant | 1004 Carondelet Dr, Suite 330, Kansas City, MO 64114-4801 | 2009-04-20 |
| 1952542219 | Thomas Lowell Schroder | Audiologist | 1004 Carondelet Dr, Suite 450, Kansas City, MO 64114-4801 | 2009-03-17 |
| 1700062221 | Jane E Jahnke Stewart Do | Family Medicine | 1004 Carondelet Dr, Ste 430, Kansas City, MO 64114-4801 | 2008-01-15 |
| 1265649669 | Kimberly Bramlett | Audiologist | 1004 Carondelet Dr, Suite 450, Kansas City, MO 64114-4802 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055968 | Nova Home Infusion, LLC | Home Infusion | 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 | 2020-02-20 |
| 1770011017 | Rene Thomsen | Counselor | 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 | 2017-05-31 |
| 1114452075 | Accent Home Health Care LLC | In Home Supportive Care | 7817 Wornall Rd, Kansas City, MO 64114 | 2017-04-27 |
| 1174982599 | Mei Dodson | Contractor | 8901 Washington St, Kansas City, MO 64114 | 2016-02-12 |
| 1851784805 | Sarah Jeannette Gulledge | Registered Nurse | 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 | 2015-03-16 |
| 1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
| 1013339753 | Kati Mayer | Physical Therapist | 10008 Walnut Dr., #202, Kansas City, MO 64114 | 2014-01-15 |
| 1619270311 | Gavett Burch | Marriage & Family Therapist | 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 | 2010-12-18 |
| 1679873046 | Ken Kidd Inc Dba Miracle-ear | Hearing Instrument Specialist | 1148 W. 103rd St, Kansas City, MO 64114 | 2010-11-01 |
| 1316264161 | Elizabeth Vasquez | Physician Assistant | 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 | 2010-05-03 |
| Find all providers in zip 64114 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134780430 | Jane Reardon | Pediatrics | 8140 Ward Pkwy Ste 275, Kansas City, MO 64114-2032 | 2019-06-26 |
| 1326548579 | Clarissa Ryan Gillen | Pediatrics | 9140 Ward Pkwy Ste 201, Kansas City, MO 64114-3327 | 2018-02-14 |
| 1306363858 | Children's Mercy - Redwood Pediatrics | Pediatrics | 9151 Ne 81st St, Suite 240, Kansas City, MO 64158-1307 | 2017-08-25 |
| 1811438013 | Lauren Hughes | Pediatrics | 2870 W 47th Ave, Kansas City, KS 66103-3243 | 2017-03-20 |
| 1033592795 | Kubra Melike Bozkanat | Pediatrics | University of Kansas Hospital Pediatrics, 3901 Rainbow Blvd. M/s 4004, Kansas City, KS 66160-0001 | 2015-06-30 |
| 1821417965 | Angela Kay Linz | Pediatrics | 4400 Broadway Ste 206, Kansas City, MO 64111-3342 | 2014-04-15 |
| 1669890620 | Michelle Marie Knoll | Pediatrics | 3101 Broadway Blvd Ste 900, Kansas City, MO 64111 | 2014-04-06 |
| 1477971141 | Michael Bradley Nelson | Pediatrics | 2000 Olathe # 3b, Kansas City, KS 66160-2620 | 2014-03-31 |
| 1104243245 | Kelstan Lynch Ellis | Pediatrics | University of Kansas Pediatrics Residency, 3901 Rainbow Blvd. M/s 4004, Kansas City, KS 66160 | 2014-03-26 |
| 1215374244 | Jennifer Isham | Pediatrics | 1004 Carondelet Dr Ste 310, Kansas City, MO 64114-4801 | 2013-05-31 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64114 |
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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.