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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians |
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 |
Street Address |
4150 N MULBERRY DR STE 150 |
City | KANSAS CITY |
State | MO |
Zip Code | 64116-1764 |
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 Code | 2080P0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Cardiology |
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. |
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 |
Find all providers in KANSAS CITY |
City | KANSAS CITY |
Zip Code | 64116 |
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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.