WHITE CRYSTAL EMERGENCY PHYSICIANS, LLC (NPI# 1972961423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972961423 |
| Entity Type | Organization |
| Organization Name | WHITE CRYSTAL EMERGENCY PHYSICIANS, LLC |
| Practice Address |
6601 Rockhill Rd Kansas City MO 64131-1118 |
| Mailing Address |
Po Box 98956 Las Vegas NV 89193-8956 |
| Practice Telephone | 4694012386 |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |
| Authorized Official Name | TEENA BEHM (OFFICER) |
| Authorized Official Telephone | 4694012386 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952762510 | White Crystal Emergency Physicians, LLC | Physician Assistant | 17065 S 71 Highway, Belton, MO 64012-2165 | 2016-03-10 |
| 1417315979 | White Crystal Emergency Physicians, LLC | Physician Assistant | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2016-01-29 |
| 1174994511 | White Crystal Emergency Physicians, LLC | Physician Assistant | 19600 E 39th St S, Independence, MO 64057-2301 | 2015-10-12 |
| Street Address |
6601 ROCKHILL RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64131-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851388516 | Robert James Rhodes II II | Pediatrics | 6601 Rockhill Rd, Suite 105, Kansas City, MO 64131-1118 | 2005-09-28 |
| 1912260928 | East Meyer Blvd Emergency Physicians LLC | Emergency Medicine | 6601 Rockhill Rd, Kansas City, MO 64131-1118 | 2012-06-25 |
| 1932326071 | Michael Tinamisan Catausan | Family Medicine | 6601 Rockhill Rd, Kansas City, MO 64131 | 2007-04-19 |
| 1588738884 | Jayne S Cook | Physician Assistant | 6601 Rockhill Rd, Kansas City, MO 64131-1118 | 2006-11-20 |
| 1083651046 | Midwest Division - Blmc, LLC | Psychiatric Unit | 6601 Rockhill Rd, Kansas City, MO 64131-1118 | 2006-05-31 |
| 1992742969 | Midwest Division - Blmc, LLC | Rehabilitation Unit | 6601 Rockhill Rd, Kansas City, MO 64131-1118 | 2006-05-31 |
| 1073569414 | Midwest Division - Blmc, LLC | General Acute Care Hospital | 6601 Rockhill Rd, Kansas City, MO 64131-1118 | 2006-05-26 |
| 1114980018 | Antonio S Racela | Pathology | 6601 Rockhill Rd, Kansas City, MO 64131-1118 | 2006-04-11 |
| 1285602755 | John D Mcenroe Jr. | Emergency Medicine | 6601 Rockhill Rd, Kansas City, MO 64131-1118 | 2006-03-10 |
| 1508834078 | Denise K Miller | Emergency Medicine | 6601 Rockhill Rd, Kansas City, MO 64131-1118 | 2006-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765450 | Jordana D'neil Mancini | Speech-Language Pathologist | 1000 E 68th St, Kansas City, MO 64131 | 2020-09-16 |
| 1205445780 | Jordan Barr | Physical Therapist | 1000 E 68th Street, Kansas City, MO 64131 | 2020-07-30 |
| 1093330599 | Tarek Haidar | Student in an Organized Health Care Education/Training Program | Research Medical Center / Goppert Family Medicine, 6675 Holmes Road, Ste 450, Kansas City, MO 64131 | 2020-06-10 |
| 1053870139 | Katherine Field | Student in an Organized Health Care Education/Training Program | Goppert-trinity Family Care, 6675 Holmes Rd Suite 360, Kansas City, MO 64131 | 2019-03-18 |
| 1962998328 | Mandy Winkert | Registered Nurse | 6301 Rockhill Rd Ste 302, Kansas City, MO 64131 | 2018-07-09 |
| 1386149623 | Sarah Frederike Otter | Student in an Organized Health Care Education/Training Program | 6675 Holmes #360, Kansas City, MO 64131 | 2018-03-28 |
| 1205354834 | Loice Kiante Jones | Contractor | 1315 E 83rd Terrace, Kansas City, MO 64131 | 2017-09-04 |
| 1104346691 | Christy Ann Oxley | Occupational Therapist | 400 Bannister Rd, Suite A, Kansas Citty, MO 64131 | 2017-06-26 |
| 1407392095 | Kara Lea Thomas | Chiropractor | 1152 E 78th St, Kansas City, MO 64131 | 2017-01-06 |
| 1013373489 | Margaret's Place LLC | Clinic/Center | 7217 Troost Ave, Kansas City, MO 64131 | 2016-01-14 |
| Find all providers in zip 64131 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811491012 | Daniel Martin Kolm | Emergency Medicine | 2106 Olathe Blvd Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1982909891 | Mark Joshua Foland | Emergency Medicine | 8929 Parallel Parwkay, Attn: Emergency Department, Kansas City, KS 66112 | 2011-01-24 |
| 1013210301 | John Henry Beckett | Emergency Medicine | 9415 Ne 91st St, Kansas City, MO 64157-8663 | 2010-12-08 |
| 1194031542 | Kyung Hun Nam | Emergency Medicine | 3901 Rainbow Blvd - Ms1045, Kansas City, KS 66160 | 2010-08-24 |
| 1639494412 | Lukuman Olumide Afuwape | Emergency Medicine | 2411 Holmes St # M2-302, Umkc School of Medicine Residency Program, Kansas City, MO 64108-2741 | 2010-04-05 |
| 1639365687 | Blaine Mitsuyuki Okino | Emergency Medicine | 920 Main St Ste 300, Kansas City, MO 64105-2008 | 2007-09-23 |
| 1487712808 | Adedapo Adeyemi Oduye | Emergency Medicine | 1600 Genessee St, 561, Kansas City, MO 64102-1039 | 2006-12-05 |
| 1235297920 | Preston Brent Koprivica | Emergency Medicine | 10127 Leavenworth Rd, Kansas City, KS 66109-3050 | 2006-12-05 |
| 1487749859 | Shane Randall Christensen | Emergency Medicine | 7900 Lees Summit Road, Kansas City, MO 66139 | 2006-10-03 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64131 |
Please comment or provide details below to improve the information on WHITE CRYSTAL EMERGENCY PHYSICIANS, LLC.
| 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.