Carl Dubose (NPI# 1114345840, PAC ID# 0244532075) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1114345840 |
| PAC ID by PECOS | 0244532075 |
| Professional Enrollment ID | I20180621002768 |
| Full Name | Carl Dubose |
| Organization Legal Name | SAINT LUKES PHYSICIAN GROUP INC |
| Address |
4400 Broadway Suite 407 Kansas City MO 64111-3342 |
| Phone Number | 8169321711 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 3577476894 |
| Number of Group Practice Members | 862 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260062 | SAINT LUKES NORTH HOSPITAL |
| 260138 | ST LUKES HOSPITAL OF KANSAS CITY |
| Address | Phone | Organization |
|---|---|---|
| 4400 Broadway, Suite 407, Kansas City, MO 64111-3342 | 8169321711 | SAINT LUKES PHYSICIAN GROUP INC |
| Organization Legal Name | SAINT LUKES PHYSICIAN GROUP INC |
| Physicians | 837 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Keith Twillman | Psychologist, Clinical | Saint Lukes Physician Group Inc | 4225 Baltimore Ave, Kansas City, MO 64111-2304 |
| Neelofar Lalani | Psychiatry | Saint Lukes Physician Group Inc | 601 S 169 Hwy, Smithville, MO 64089-9317 |
| Benjamin J Kulow | General Surgery | Saint Lukes Physician Group Inc | 5844 Nw Barry Rd, Suite 120, Kansas City, MO 64154-1483 |
| Anthony Hamid Tabatabai | General Surgery | Saint Lukes Physician Group Inc | 120 Ne Saint Lukes Blvd, Suite 220, Lees Summit, MO 64086-6000 |
| Edgar Friedrich Prasthofer | Hematology/oncology | Saint Lukes Physician Group Inc | 110 Ne Saint Lukes Blvd, Suite 500, Lees Summit, MO 64086-6000 |
| Yuri Shif | Diagnostic Radiology | Saint Lukes Physician Group Inc | 700 Branch St, Suite 1, Platte City, MO 64079-9298 |
| Rebekah J. Abbott | Family Medicine | Saint Lukes Physician Group Inc | 5405 W 151st St, Slmg Blue Valley, Leawood, KS 66224-8700 |
| Daniel Steinhaus | Cardiac Electrophysiology | Saint Lukes Physician Group Inc | 1004 Progress Dr, Suite 220, Lansing, KS 66043-6327 |
| Sherry Lee Broadhurst | Nurse Practitioner | Saint Lukes Physician Group Inc | 4401 Wornall Rd, Kansas City, MO 64111-3220 |
| Danielle Ann Hammontree | Nurse Practitioner | Saint Lukes Physician Group Inc | 20 Ne Saint Lukes Blvd, 350 Saint Lukes Medical Group, Lee's Summit, MO 64086-6001 |
| Street Address |
4400 BROADWAY SUITE 407 |
| City | KANSAS CITY |
| State | MO |
| Zip | 64111-3342 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Lee Regele | Nurse Practitioner | Saint Lukes Physician Group Inc | 4400 Broadway, Suite 520, Kansas City, MO 64111-3342 |
| Christina Lenk | Neurology | Saint Lukes Physician Group Inc | 4400 Broadway, Suite 520, Kansas City, MO 64111-3342 |
| Leslyn Brouillette | Nurse Practitioner | Saint Lukes Physician Group Inc | 4400 Broadway, Suite 520, Kansas City, MO 64111-3342 |
| Arlene T Oshea | Nurse Practitioner | Saint Lukes Physician Group Inc | 4400 Broadway, Suite 520, Kansas City, MO 64111-3342 |
| John W. Kevill | Neurology | Saint Lukes Physician Group Inc | 4400 Broadway, Suite 520, Kansas City, MO 64111-3342 |
| Omar Kuzez | Neurology | Saint Lukes Physician Group Inc | 4400 Broadway, Suite 520, Kansas City, MO 64111-3342 |
| John C Hall | Dermatology | 4400 Broadway, Suite 416, Kansas City, MO 64111-3342 | |
| Karl Nelson Knights | Neurology | Saint Lukes Physician Group Inc | 4400 Broadway, Suite 520, Kansas City, MO 64111-3342 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin Welsh | Family Medicine | Partners In Primary Care Nc PC | 301 E Armour Blvd, 2e Partners In Primary Care Midtown, Kansas City, MO 64111-1289 |
| Stephen C Salanski | Family Medicine | Partners In Primary Care Nc PC | 301 E Armour Blvd, 2e Partners In Primary Care Midtown, Kansas City, MO 64111-1289 |
| Nathaniel Shane Coburn | Physical Therapy | Serc Rehabilitation Partners LLC | 3355 Main St, Kansas City, MO 64111-1904 |
| Craig Howard Lee | Physical Therapy | Serc Rehabilitation Partners LLC | 3355 Main St, Kansas City, MO 64111-1904 |
| Paula Michelle Holm | Occupational Therapy | Serc Rehabilitation Partners LLC | 3355 Main St, Kansas City, MO 64111-1904 |
| Kathryne Suzanne Bever | Physical Therapy | Serc Rehabilitation Partners LLC | 3355 Main St, Kansas City, MO 64111-1904 |
| Kara Diane Chapman | Physical Therapy | Serc Rehabilitation Partners LLC | 3355 Main St, Kansas City, MO 64111-1904 |
| Sara E. Jones | Occupational Therapy | Serc Rebabilitation Partners, LLC | 3355 Main St, Kansas City, MO 64111-1904 |
| Frances M Hollembaek | Chiropractic | 3611 Main St, Suite 103, Kansas City, MO 64111-1932 | |
| Christina A Mcdowell | Clinical Social Worker | 4044 Central St, Kansas City, MO 64111-2228 | |
| Find all physicians in zip 64111 | |||
| City | KANSAS CITY |
| Zip Code | 64111 |
| Specialty | PSYCHIATRY |
| City + Specialty | KANSAS CITY + PSYCHIATRY |
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| 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.