KANSAS CITY PEDIATRIC CARDIOLOGY ASSOCIATES


Address: 4150 N Mulberry Dr Ste 150, Kansas City, MO 64116-1764
Phone: 8165840505

KANSAS CITY PEDIATRIC CARDIOLOGY ASSOCIATES (NPI# 1669023388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669023388
Entity Type Organization
Organization Name KANSAS CITY PEDIATRIC CARDIOLOGY ASSOCIATES
Practice Address 4150 N Mulberry Dr Ste 150
Kansas City
MO 64116-1764
Practice Telephone 8165840505
Practice Fax Number 8162656333
Mailing Telephone 8165840505
Mailing Fax Number 8162656333
Enumeration Date 2019-09-24
Last Update Date 2019-09-24
Authorized Official Name DR. WILLIAM B DRAKE III (PHYSICIAN OWNER)
Authorized Official Telephone 8165840505
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
Allopathic & Osteopathic Physicians

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities KANSAS CITY PEDIATRIC CARDIOLOGY ASSOCIATES, LLC 4150 N Mulberry Drive Ste 150, Kansas City, MO 64116-1764

Office Location

Street Address 4150 N MULBERRY DR STE 150
City KANSAS CITY
State MO
Zip Code 64116-1764

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326503830 Ladeja Holland Student in an Organized Health Care Education/Training Program 4421 N Oak Trfy, Kansas City, MO 64116 2019-02-08
1982179388 Casady's Counseling Counselor 1201 Nw Briarcliff Pkwy Ste 200 Office233, Kansas City, MO 64116 2018-10-11
1427543818 Amanda E Foster Physical Therapist 3810 N Mulberry Drive 202, Kansas City, MO 64116 2018-06-27
1992290555 Lucas J Mathes Physician Assistant 2790 Clay Edwards Drive, Suite 650, North Kansas City, MO 64116 2018-06-26
1952828816 Danielle Marie Rush Physical Therapist 1501 Nw 38th St., Apt. 305, Kansas City, MO 64116 2017-08-23
1992229629 Ankita Bhakta Physical Therapy Assistant 4407 N Mulberry Dr, Kansas City, MO 64116 2017-08-03
1720430945 Deon Hicks Physical Therapist 851 Nw 45th Street, Suite 209, Kansas City, MO 64116 2016-07-12
1851712228 Cindy Eldridge Counselor 1201 Nw Briarcliff Pkwy Ste 200, Kansas City, MO 64116 2014-01-02
1841629904 Jamie Lyn Jackson Specialist/Technologist 2790 Clay Edwards Dr. Ste #650, North Kansas City, MO 64116 2013-11-08
1487099388 Lisa M Grasing Family Medicine 4150 N. Mulberry Dr, Suite 160, Kansas City, MO 64116 2013-05-06
Find all providers in zip 64116

Taxonomy Information

Taxonomy Code 2080P0202X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Cardiology

Taxonomy Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
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/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508885096 Valerie Ann Schroeder Pediatrics 3901 Rainbow Blvd Ms 4004, Kansas City, KS 66160-0001 2006-07-18
1255389920 William Baker Drake IIi Pediatrics 4150 N Mulberry Dr, Suite 150, Kansas City, MO 64116-1779 2006-05-05
1063460079 Catherine Ong Simon Pediatrics 2401 Gillham, Children's Mercy Hospital, Kansas City, MO 64108 2006-05-04
1356792881 Maria G Kiaffas Pediatrics 2401 Gillham Rd., Dept. of Cardiology, Kansas City, MO 64108-4619 2016-06-27
1841623626 John Papagiannis Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2013-08-15
1730522723 Matthew Louis Moehlmann Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2013-04-09
1972852119 Joseph Ramon Casadonte Pediatrics 3901 Rainbow Blvd, Kansas City, KS 66160-8500 2012-09-04
1285995480 Nikki Mrinalini Singh Pediatrics 2401 Gillham Rd, Kansas City, MO 64108 2012-06-04
1780810135 William James Gibson Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2009-05-29
1033370531 Natalie Margaret Jayaram Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2008-06-18
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City KANSAS CITY
Zip Code 64116

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Dataset Information

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.

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