Craig A Dietz (NPI# 1740247097, PAC ID# 1153568993) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1740247097 |
| PAC ID by PECOS | 1153568993 |
| Professional Enrollment ID | I20130514000703 |
| Full Name | Craig A Dietz |
| Organization Legal Name | KANSAS CITY CARE CLINIC |
| Address |
3515 Broadway Blvd Kansas City MO 64111-2501 |
| Phone Number | 8167535144 |
| Gender | M |
| Graduation Year | 1997 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9335386168 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260048 | TRUMAN MEDICAL CENTER HOSPITAL HILL |
| Address | Phone | Organization |
|---|---|---|
| 3515 Broadway Blvd, Kansas City, MO 64111-2501 | 8167535144 | KANSAS CITY CARE CLINIC |
| Organization Legal Name | KANSAS CITY CARE CLINIC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Audrey Renee Lasley | Nurse Practitioner | Kansas City Care Clinic | 3515 Broadway Blvd, Kansas City, MO 64111-2501 |
| Mary L Neuburger | Clinical Social Worker | Kansas City Care Clinic | 3515 Broadway St, Kansas City, MO 64111-2537 |
| Steven R Warlick | Family Medicine | Kansas City Care Clinic | 3515 Broadway Blvd, Kansas City, MO 64111-2501 |
| Sarah M Potter | Physician Assistant | Kansas City Care Clinic | 3515 Broadway Blvd, Kansas City, MO 64111-2501 |
| Joel M Feder | Family Medicine | Kansas City Care Clinic | 3515 Broadway Blvd, Kansas City, MO 64111-2501 |
| Sarah Helen Parrott | Osteopathic Manipulative Medicine | Kansas City Care Clinic | 2340 E Meyer Blvd, Suite 200, Kansas City, MO 64132-1121 |
| Karen E Leuenberger | Physician Assistant | Kansas City Care Clinic | 3515 Broadway Blvd, Kansas City, MO 64111-2501 |
| Emma Ann Windham | Physician Assistant | Kansas City Care Clinic | 3515 Broadway Blvd, Kansas City, MO 64111-2501 |
| Blair A Thedinger | Family Medicine | Kansas City Care Clinic | 3515 Broadway Blvd, Kansas City, MO 64111-2501 |
| Michelle Renee Goss | Nurse Practitioner | Kansas City Care Clinic | 3515 Broadway Blvd, Kansas City, MO 64111-2501 |
| Street Address |
3515 BROADWAY BLVD |
| City | KANSAS CITY |
| State | MO |
| Zip | 64111-2501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Audrey Renee Lasley | Nurse Practitioner | Kansas City Care Clinic | 3515 Broadway Blvd, Kansas City, MO 64111-2501 |
| Steven R Warlick | Family Medicine | Kansas City Care Clinic | 3515 Broadway Blvd, Kansas City, MO 64111-2501 |
| Sarah M Potter | Physician Assistant | Kansas City Care Clinic | 3515 Broadway Blvd, Kansas City, MO 64111-2501 |
| Joel M Feder | Family Medicine | Kansas City Care Clinic | 3515 Broadway Blvd, Kansas City, MO 64111-2501 |
| Karen E Leuenberger | Physician Assistant | Kansas City Care Clinic | 3515 Broadway Blvd, Kansas City, MO 64111-2501 |
| Emma Ann Windham | Physician Assistant | Kansas City Care Clinic | 3515 Broadway Blvd, Kansas City, MO 64111-2501 |
| Blair A Thedinger | Family Medicine | Kansas City Care Clinic | 3515 Broadway Blvd, Kansas City, MO 64111-2501 |
| Michelle Renee Goss | Nurse Practitioner | Kansas City Care Clinic | 3515 Broadway Blvd, Kansas City, MO 64111-2501 |
| Kelsey Unruh Ryan | Family Medicine | Kansas City Care Clinic | 3515 Broadway Blvd, Kansas City, MO 64111-2501 |
| Robert M Ross | Internal Medicine | Kansas City Care Clinic | 3515 Broadway Blvd, Kansas City, MO 64111-2501 |
| Find all physicians in the same address | |||
| 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 | INTERNAL MEDICINE |
| City + Specialty | KANSAS CITY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Craig A Dietz.
| 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.