Thad A Stephens (NPI# 1053310938, PAC ID# 1254340300) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1053310938 |
| PAC ID by PECOS | 1254340300 |
| Professional Enrollment ID | I20060418000360 |
| Full Name | Thad A Stephens |
| Organization Legal Name | PRIME HEALTHCARE PHYSICIAN SERVICES PROVIDENCE INC |
| Address |
1000 Carondelet Dr Kansas City MO 64114-4673 |
| Phone Number | 8169424400 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | UNDERSEA AND HYPERBARIC MEDICINE |
| Group Practice PAC ID | 1052553906 |
| Number of Group Practice Members | 49 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260085 | ST JOSEPH MEDICAL CENTER |
| 170182 | MENORAH MEDICAL CENTER |
| 170146 | PROVIDENCE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 8169424400 | PRIME HEALTHCARE PHYSICIAN SERVICES PROVIDENCE INC |
| 5400 N Oak Trafficway, 115 Tricounty Urology, Kansas City, MO 64118-4689 | 9136632442 | PRIME HEALTHCARE PHYSICIAN SERVICES PROVIDENCE INC |
| 8909 Parallel Pkwy, Kansas City, KS 66112-1689 | 9135964200 | PRIME HEALTHCARE PHYSICIAN SERVICES PROVIDENCE INC |
| 8929 Parallel Pkwy, Kansas City, KS 66112-1689 | 9135963930 | PRIME HEALTHCARE PHYSICIAN SERVICES PROVIDENCE INC |
| 5721 W 119th St, Menorah Medical Center, Overland Park, KS 66209-3722 | 9134986000 | PRIME HEALTHCARE PHYSICIAN SERVICES PROVIDENCE INC |
| 6509 W 103rd St, Overland Park, KS 66212-1728 | 9136493701 | PRIME HEALTHCARE PHYSICIAN SERVICES PROVIDENCE INC |
| Organization Legal Name | PRIME HEALTHCARE PHYSICIAN SERVICES PROVIDENCE INC |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia B Cooper | Nurse Practitioner | Prime Healthcare Physician Services Providence Inc | 4801 College Blvd, Leawood, KS 66211-1628 |
| Christina M Coulson | Nurse Practitioner | Prime Healthcare Physician Services Providence Inc | 15604 Pinehurst Dr, Suite 2, Basehor, KS 66007-8234 |
| Donald J Mcsweyn | Cardiovascular Disease (cardiology) | Prime Healthcare Physician Services Providence Inc | 3550 S 4th St, 200 Pmg Primary Care Leavenworth Lansing, Leavenworth, KS 66048-5009 |
| Samuel Y Ho | Hospitalist | Prime Healthcare Physician Services Providence Inc | 3500 S 4th St, Leavenworth, KS 66048-5043 |
| Margaret A Killam | Family Medicine | Prime Healthcare Physician Services Providence Inc | 8909 Parallel Pkwy, Kansas City, KS 66112-1689 |
| Terry A Simmons | Family Medicine | Prime Healthcare Physician Services Providence Inc | 8909 Parallel Pkwy, Kansas City, KS 66112-1689 |
| James Appelbaum | Neurology | Prime Healthcare Physician Services Providence Inc | 8909 Parallel Pkwy, Kansas City, KS 66112-1689 |
| Michael M Parra | Family Medicine | Prime Healthcare Physician Services Providence Inc | 8909 Parallel Pkwy, Kansas City, KS 66112-1689 |
| John N Vani | Orthopedic Surgery | Prime Healthcare Physician Services Providence Inc | 8919 Parallel Pkwy, Suite 555, Kansas City, KS 66112-3628 |
| Jarod J Marcotte | Physician Assistant | Prime Healthcare Physician Services Providence Inc | 3550 S 4th St, 200 Pmg Primary Care Leavenworth Lansing, Leavenworth, KS 66048-5009 |
| Street Address |
1000 CARONDELET DR |
| City | KANSAS CITY |
| State | MO |
| Zip | 64114-4673 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Thomas Cummings | General Surgery | Overland Park Medical Specialists LLC | 1000 Carondelet Dr, Kansas City, MO 64114-4673 |
| Adam C Bales | Anesthesiology | Northstar Anesthesia of Missouri LLC | 1000 Carondelet Dr, Kansas City, MO 64114-4673 |
| Neal B Deutch | Psychologist, Clinical | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | |
| Mark S Walton | Otolaryngology | Head and Neck Surgery of Kansas City P A | 1000 Carondelet Dr, Kansas City, MO 64114-4673 |
| Patrick M Otoole | Diagnostic Radiology | Alliance Radiology Pa | 1000 Carondelet Dr, Kansas City, MO 64114-4673 |
| Ujjaval M Patel | Interventional Cardiology | Midwest Heart and Vascular Specialists LLC | 1000 Carondelet Dr, Kansas City, MO 64114-4673 |
| Donald L Cohen | Internal Medicine | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | |
| Allen B Jetmore | Colorectal Surgery (proctology) | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | |
| Daniel K Bixler | Emergency Medicine | Cep America LLC | 1000 Carondelet Dr, Kansas City, MO 64114-4673 |
| Jin S Park | Cardiovascular Disease (cardiology) | Prime Healthcare Physician Services Providence Inc | 1000 Carondelet Dr, Kansas City, MO 64114-4673 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judy I Moore | Psychologist, Clinical | 101 E Gregory Blvd, Kansas City, MO 64114-1119 | |
| Esther B Markus | Psychologist, Clinical | 101 E Gregory Blvd, Kansas City, MO 64114-1119 | |
| James Michael Lecluyse | Clinical Social Worker | 222 W Gregory Blvd, Suite 310, Kansas City, MO 64114-1127 | |
| Mark Thomas Mcgonigle | Clinical Social Worker | 222 W Gregory Blvd, Suite 310, Kansas City, MO 64114-1127 | |
| Arnold V Abels | Clinical Psychologist | Hutchinson and Associates LLC | 222 W Gregory Blvd, Suite 100, Kansas City, MO 64114-1127 |
| Marilyn A Hutchinson | Clinical Psychologist | Hutchinson and Associates LLC | 222 W Gregory Blvd, Suite 100, Kansas City, MO 64114-1127 |
| Lauren Alise Richerson | Clinical Psychologist | Hutchinson and Associates LLC | 222 W Gregory Blvd, Suite 100, Kansas City, MO 64114-1127 |
| Laverne A Berkel | Clinical Psychologist | Hutchinson and Associates LLC | 222 W Gregory Blvd, Suite 100, Kansas City, MO 64114-1127 |
| Denise L Gulledge | Clinical Psychologist | Hutchinson and Associates LLC | 222 W Gregory Blvd, Suite 100, Kansas City, MO 64114-1127 |
| Lester Blue Jr. | Clinical Psychologist | Hutchinson and Associates LLC | 222 W Gregory Blvd, Suite 100, Kansas City, MO 64114-1127 |
| Find all physicians in zip 64114 | |||
| City | KANSAS CITY |
| Zip Code | 64114 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | KANSAS CITY + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Thad A Stephens.
| 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.