Nathaniel Shane Coburn (NPI# 1477108710, PAC ID# 0244663995) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
Nation Provider ID (NPI) | 1477108710 |
PAC ID by PECOS | 0244663995 |
Professional Enrollment ID | I20191210003014 |
Full Name | Nathaniel Shane Coburn |
Organization Legal Name | SERC REHABILITATION PARTNERS LLC |
Address |
3355 Main St Kansas City MO 64111-1904 |
Phone Number | 8163990806 |
Gender | M |
Graduation Year | 2018 |
Primary Specialty | PHYSICAL THERAPY |
Group Practice PAC ID | 9830344563 |
Number of Group Practice Members | 174 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
3355 Main St, Kansas City, MO 64111-1904 | 8163990806 | SERC REHABILITATION PARTNERS LLC |
Organization Legal Name | SERC REHABILITATION PARTNERS LLC |
Physicians | 190 |
Name | Specialty | Organization | Address |
---|---|---|---|
Katelyn Elizabeth Kennison | Physical Therapy | Serc Rehabilitation Partners LLC | 9760 N Ash Ave, Kansas City, MO 64157-9742 |
Bryan Gregory Romero | Physical Therapy | Serc Rehabilitation Partners LLC | 11902 Blue Ridge Ext, Suite 11906b, Grandview, MO 64030-1100 |
Kyler Todd Offenbacker | Physical Therapy | Serc Rehabilitation Partners LLC | 1240 E Centerton Blvd, Centerton, AR 72719-1300 |
Joseph Thomas Kopp Jr. | Physical Therapy | Serc Rehabilitation Partners LLC | 8019 W 151st St, Overland Park, KS 66223-2115 |
Ryan Tyler Freeman | Physical Therapy | Serc Rehabilitation Partners LLC | 1227 E 32nd St, 7 Serc Joplin, Joplin, MO 64804-2904 |
Taylor Anne Rees | Physical Therapy | Serc Rehabilitation Partners LLC | 908 Baltimore Ave, Suite 101, Kansas City, MO 64105-1707 |
Sarah Baylee Ford | Physical Therapy | Serc Rehabilitation Partners LLC | 6640 Johnson Dr, Mission, KS 66202-2617 |
Stephanie Ann Papik | Physical Therapy | Serc Rehabilitation Partners LLC | 10074 Woodland Dr, Serc Lenexa, Lenexa, KS 66220-3802 |
Jennifer Ann Whipple | Physical Therapy | Serc Rehabilitation Partners LLC | 7925 State Ave, Suite 104, Kansas City, KS 66112-2422 |
Ronald William Wagner | Physical Therapy | Serc Rehabilitation Partners LLC | 415 S 10th St, Serc Atchison, Atchison, KS 66002-2771 |
Street Address |
3355 MAIN ST |
City | KANSAS CITY |
State | MO |
Zip | 64111-1904 |
Name | Specialty | Organization | Address |
---|---|---|---|
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 |
Keumhong Yoo | Chiropractic | 3355 Main St, Stratford, CT 06614-4845 | |
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 |
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 |
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 | |
Robert Keith Twillman | Psychologist, Clinical | Saint Lukes Physician Group Inc | 4225 Baltimore Ave, Kansas City, MO 64111-2304 |
Elizabeth L Hunter Blank | Clinical Social Worker | 4104 Central St, Kansas City, MO 64111-2307 | |
Mary L Martin | Nurse Practitioner | Midtown Family Medicine PC | 3406 Broadway St B, Kansas City, MO 64111-2404 |
Sydney H Evans | Nurse Practitioner | Midtown Family Medicine PC | 3406 Broadway St B, Kansas City, MO 64111-2404 |
Gary A Thompson | Family Medicine | Midtown Family Medicine PC | 3406 Broadway St B, Kansas City, MO 64111-2404 |
Margaret M Schmidtlein | Nurse Practitioner | Midtown Family Medicine PC | 3406 Broadway St B, Kansas City, MO 64111-2404 |
Find all physicians in zip 64111 |
City | KANSAS CITY |
Zip Code | 64111 |
Specialty | PHYSICAL THERAPY |
City + Specialty | KANSAS CITY + PHYSICAL THERAPY |
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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.