Christie Michelle Brock (NPI# 1417195140, PAC ID# 0244483022) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CRITICAL CARE (INTENSIVISTS).
| Nation Provider ID (NPI) | 1417195140 |
| PAC ID by PECOS | 0244483022 |
| Professional Enrollment ID | I20130102000413 |
| Full Name | Christie Michelle Brock |
| Organization Legal Name | ADVANCED SURGICAL ASSOCIATES |
| Address |
3460 Ne Ralph Powell Rd Lees Summit MO 64064-2361 |
| Phone Number | 8162460800 |
| Gender | F |
| Medical School | KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2007 |
| Primary Specialty | CRITICAL CARE (INTENSIVISTS) |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 0244393023 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260095 | CENTERPOINT MEDICAL CENTER |
| 260190 | LEE'S SUMMIT MEDICAL CENTER |
| 260193 | ST MARYS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3460 Ne Ralph Powell Rd, Lees Summit, MO 64064-2361 | 8162460800 | ADVANCED SURGICAL ASSOCIATES |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 94% |
| Organization Legal Name | ADVANCED SURGICAL ASSOCIATES |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rajveen R Sendher | Orthopedic Surgery | Advanced Surgical Associates | 200 Jose Figueres Ave, Suite 225, San Jose, CA 95116-1588 |
| Aravind T Rangaraj | General Surgery | Advanced Surgical Associates | 200 Jose Figueres Ave, Suite 225, San Jose, CA 95116-1588 |
| Nang T Nguyen | General Surgery | Advanced Surgical Associates | 200 Jose Figueres Ave, Suite 225, San Jose, CA 95116-1588 |
| Kalle M Stidham | Orthopedic Surgery | Advanced Surgical Associates | 200 Jose Figueres Ave, Suite 225, San Jose, CA 95116-1588 |
| Richard J Trevino | Otolaryngology | Advanced Surgical Associates | 200 Jose Figueres Ave, Suite 225, San Jose, CA 95116-1588 |
| Adam Paul Kramer | General Surgery | Advanced Surgical Associates | 3460 Ne Ralph Powell Rd, Lees Summit, MO 64064-2361 |
| Scott Ward Benninghoven | General Surgery | Advanced Surgical Associates | 200 Jose Figueres Ave, Suite 225, San Jose, CA 95116-1588 |
| Ayman Al Harakeh | General Surgery | Advanced Surgical Associates | 200 Jose Figueres Ave, Suite 225, San Jose, CA 95116-1588 |
| Huy The Trieu Nguyen | General Surgery | Advanced Surgical Associates | 200 Jose Figueres Ave, Suite 225, San Jose, CA 95116-1588 |
| Joshua David Gazzetta | General Surgery | Advanced Surgical Associates | 3460 Ne Ralph Powell Rd, Lees Summit, MO 64064-2361 |
| Street Address |
3460 NE RALPH POWELL RD |
| City | LEES SUMMIT |
| State | MO |
| Zip | 64064-2361 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Paul Kramer | General Surgery | Advanced Surgical Associates | 3460 Ne Ralph Powell Rd, Lees Summit, MO 64064-2361 |
| Joshua David Gazzetta | General Surgery | Advanced Surgical Associates | 3460 Ne Ralph Powell Rd, Lees Summit, MO 64064-2361 |
| Christopher Michael Daggett | General Surgery | Advanced Surgical Associates | 3460 Ne Ralph Powell Rd, Lees Summit, MO 64064-2361 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick B Russell | Chiropractic | Lakewood Chiropractic, PC | 731 N E Lakewood Blvd, Lees Summit, MO 64064-1353 |
| Sara L Horn | Chiropractic | Lakewood Chiropractic, PC | 731 N E Lakewood Blvd, Lees Summit, MO 64064-1353 |
| Ryan M Nogle | Chiropractic | Lakewood Chiropractic, PC | 731 N E Lakewood Blvd, Lees Summit, MO 64064-1353 |
| Steven Lawrence Perry | Chiropractic | Lakewood Chiropractic, PC | 731 N E Lakewood Blvd, Lees Summit, MO 64064-1353 |
| Julianne Marie Perrini | Physical Therapy | Serc Rebabilitation Partners, LLC | 827 Ne Lakewood Blvd, Serc Lakewood Blvd, Lees Summit, MO 64064-1366 |
| Drake R Rustici | Chiropractic | 603 A Ne Woods Chapel Rd, Lees Summit, MO 64064-1900 | |
| Brittany J Ghani | Nurse Practitioner | Joy E Cuezze Md LLC | 600 Ne Meadowview Dr, Lees Summit, MO 64064-1983 |
| Kathryn C Twenter | Internal Medicine | Joy E Cuezze Md LLC | 600 Ne Meadowview Dr, Lees Summit, MO 64064-1983 |
| Gretchen M Davis | Nurse Practitioner | Joy E Cuezze Md LLC | 600 Ne Meadowview Dr, Lees Summit, MO 64064-1983 |
| Robin L Larson-molzen | Psychologist, Clinical | Midamericare Limited Liability Company | 600 Ne Meadowview Dr, Lees Summit, MO 64064-1983 |
| Find all physicians in zip 64064 | |||
| City | LEES SUMMIT |
| Zip Code | 64064 |
| Specialty | CRITICAL CARE (INTENSIVISTS) |
| City + Specialty | LEES SUMMIT + CRITICAL CARE (INTENSIVISTS) |
Please comment or provide details below to improve the information on Christie Michelle Brock.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.