MISSOURI TELERAD LLC (NPI# 1962729319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962729319 |
| Entity Type | Organization |
| Organization Name | MISSOURI TELERAD LLC |
| Practice Address |
816 Huntington Rd Kansas City MO 64113-1344 |
| Mailing Address |
13737 Noel Rd Suite 1600 Dallas TX 75240-1331 |
| Practice Telephone | 8163611562 |
| Practice Fax Number | 2417122487 |
| Mailing Telephone | 2147122074 |
| Mailing Fax Number | 2147122487 |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2012-07-24 |
| Authorized Official Name | PHILIP HECKENDORN (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 2147122074 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578086310 | Missouri Telerad LLC | Radiology | 5117 South Neffleton Avenue, Springfiled, MO 65810 | 2017-07-24 |
| Street Address |
816 HUNTINGTON RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64113-1344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578965216 | Kelsey Thompson | Speech-Language Pathologist | 5900 Mcgee St., Kansas City, MO 64113 | 2014-09-25 |
| 1588957088 | Kelly Burnham | Social Worker | 2 E. 59th Street, Kansas City, MO 64113 | 2011-05-17 |
| 1528270683 | Richard Abloff | Psychologist | 6306 Walnut St, Kansas City, MO 64113 | 2007-05-03 |
| 1609900075 | Jennifer Hurst | Speech-Language Pathologist | 6711 Oak St, Kansas City, MO 64113 | 2007-03-15 |
| 1972678928 | James Conrad Throckmorton | Dentist | 6309 Morningside Dr, Kansas City, MO 64113 | 2006-11-22 |
| 1538244009 | Emily Eline Hayes | Dentist | 101 E 63rd Street, Kansas City, MO 64113 | 2006-10-25 |
| 1003344276 | Restore Counseling | Counselor | 6155 Oak St Ste B, Kansas City, MO 64113 | 2017-05-31 |
| 1255418992 | Cheryl Lynn Brown | Dentist | 101 E 63rd Street, Kansas City, MO 64113 | 2006-11-01 |
| 1598842247 | Marcie C Calvin | Dentist | 101 E 63rd Street, Kansas City, MO 64113 | 2006-11-01 |
| 1013094762 | Cynthia Louise Wrehe | Dentist | 101 E 63rd Street, Kansas City, MO 64113 | 2006-11-01 |
| Find all providers in zip 64113 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013534049 | Innovative Medical Solutions, Inc. | Radiology | 4218 Roanoke Rd Ste 304, Kansas City, MO 64111-4996 | 2020-06-25 |
| 1255780029 | John Burns | Radiology | 3901 Rainbow Blvd Dept of Radiology, Kansas City, KS 66160-8500 | 2016-06-12 |
| 1184042525 | Anatoly Loskutov | Radiology | 4338 Rockhill Rd, Kansas City, MO 64110-1543 | 2014-04-02 |
| 1194087890 | Joseph Scott Donald II | Radiology | Kumc Radiology, 3901 Raindbow Blvd Ms 4032, Kansas City, KS 66160-0001 | 2012-06-09 |
| 1649563024 | Kelsey Anne Flynt | Radiology | 5820 Nw Barry Rd Ste 100, Kansas City, MO 64154-2578 | 2011-05-18 |
| 1851699854 | Manuel J Blando | Radiology | 415 Nw 65th St, Kansas City, MO 64118-3850 | 2011-03-01 |
| 1790003622 | Julieann Stover | Radiology | 4321 Washington St Ste 1000, Kansas City, MO 64111-5962 | 2010-05-17 |
| 1588894315 | Shaun Robert Best | Radiology | 3901 Rainbow Blvd Ms 4032, Kansas City, KS 66160-0001 | 2009-07-14 |
| 1326249160 | Nathan Aliyah Saucier | Radiology | 1229 W 67th St, 2nd Floor, Kansas City, MO 64113-1901 | 2007-05-30 |
| 1194855080 | John Dieu Leever | Radiology | University of Kansas Medical Ctr Msc 4032, 3901 Rainbow Blvd, Kansas City, KS 66160-0001 | 2007-03-07 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64113 |
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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.