Johanna L Mccullagh (NPI# 1164569661, PAC ID# 2567516024) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1164569661 |
| PAC ID by PECOS | 2567516024 |
| Professional Enrollment ID | I20090818000422 |
| Full Name | Johanna L Mccullagh |
| Organization Legal Name | KANSAS CITY KIDNEY CONSULTANTS PA |
| Address |
12300 Metcalf Ave Overland Park KS 66213-1324 |
| Phone Number | 8165310552 |
| Gender | F |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 2769454644 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260138 | ST LUKES HOSPITAL OF KANSAS CITY |
| 260216 | SAINT LUKE'S EAST HOSPITAL |
| 260062 | SAINT LUKES NORTH HOSPITAL |
| 261321 | HEDRICK MEDICAL CENTER |
| 170185 | SAINT LUKE'S SOUTH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5964 | 8165310552 | KANSAS CITY KIDNEY CONSULTANTS PA |
| 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 8165310552 | KANSAS CITY KIDNEY CONSULTANTS PA |
| Organization Legal Name | KANSAS CITY KIDNEY CONSULTANTS PA |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Johnston | Nurse Practitioner | Kansas City Kidney Consultants Pa | 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5964 |
| Irme Akhtar | Nephrology | Kansas City Kidney Consultants Pa | 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5964 |
| Barry C Wood | Internal Medicine | Kansas City Kidney Consultants Pa | 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5964 |
| Ryan M Lustig | Nephrology | Kansas City Kidney Consultants Pa | 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5964 |
| Malia Dejong | Nurse Practitioner | Kansas City Kidney Consultants Pa | 100 Ne Missouri Rd, Suite 204, Lees Summit, MO 64068-4702 |
| Gretchen Casper | Nurse Practitioner | Kansas City Kidney Consultants Pa | 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5964 |
| Jennifer L. Branch | Nurse Practitioner | Kansas City Kidney Consultants Pa | 100 Ne Missouri Rd, Suite 204, Lees Summit, MO 64068-4702 |
| Molly L. Cahill | Nurse Practitioner | Kansas City Kidney Consultants Pa | 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5964 |
| Rachel Joy Luber | Nurse Practitioner | Kansas City Kidney Consultants Pa | 100 Ne Missouri Rd, Suite 204, Lees Summit, MO 64068-4702 |
| Suzanne D Cummings | Nurse Practitioner | Kansas City Kidney Consultants Pa | 100 Ne Missouri Rd, Suite 204, Lees Summit, MO 64068-4702 |
| Street Address |
12300 METCALF AVE |
| City | OVERLAND PARK |
| State | KS |
| Zip | 66213-1324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa M Hermes | Physical Medicine and Rehabilitation | Saint Lukes Physician Group Inc | 12300 Metcalf Ave, Overland Park, KS 66213-1324 |
| Dani J Cossette | Certified Registered Nurse Anesthetist (crna) | Saint Lukes Physician Group Inc | 12300 Metcalf Ave, Overland Park, KS 66213-1324 |
| Christopher Avila | Hospitalist | Saint Lukes Physician Group Inc | 12300 Metcalf Ave, Overland Park, KS 66213-1324 |
| Rachel S Buerman | Certified Registered Nurse Anesthetist (crna) | Saint Lukes Physician Group Inc | 12300 Metcalf Ave, Overland Park, KS 66213-1324 |
| Rola A Mahmoud | Neurology | Saint Lukes Physician Group Inc | 12300 Metcalf Ave, Overland Park, KS 66213-1324 |
| Shelby Nicole Ising | Nurse Practitioner | Saint Lukes Physician Group Inc | 12300 Metcalf Ave, Overland Park, KS 66213-1324 |
| Rebecca Burfeind | Interventional Pain Management | Pain Management Associates | 12300 Metcalf Ave, Overland Park, KS 66213-1324 |
| Christopher J Waldschmidt | Emergency Medicine | Mep Kansas LLC | 12300 Metcalf Ave, Overland Park, KS 66213-1324 |
| Christopher E Bowser | Emergency Medicine | Mep Kansas LLC | 12300 Metcalf Ave, Overland Park, KS 66213-1324 |
| Sarah F Linderman | Emergency Medicine | Mep Kansas LLC | 12300 Metcalf Ave, Overland Park, KS 66213-1324 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin M Pierce | Optometry | Overland Park Eye Center Inc | 7500 W 119th St, Overland Park, KS 66213-1108 |
| Joseph M Schwerdtfeger | Optometry | Overland Park Eye Center Inc | 7500 W 119th St, Overland Park, KS 66213-1108 |
| Victoria Lee Rebman | Chiropractic | 7108 W 119th St, Overland Park, KS 66213-1116 | |
| Bradley E Davis | Urology | Urologic Surgery Associates, Pa | 12330 Metcalf Ave, Suite 100, Overland Park, KS 66213-1301 |
| Molly Beth Harris | Nurse Practitioner | Saint Lukes Physician Group Inc | 12330 Metcalf Ave, Suite 260, Overland Park, KS 66213-1302 |
| Felicia D Menefee | Clinical Nurse Specialist | Saint Luke's Physician Group I, LLC | 12330 Metcalf Ave, Suite 280, Overland Park, KS 66213-1302 |
| Richard B Price | Otolaryngology | 12330 Metcalf Ave, Suite 550, Overland Park, KS 66213-1305 | |
| Kristin J Marhee | Nurse Practitioner | Saint Lukes Physician Group Inc | 12330 Metcalf Ave, Suite 560, Overland Park, KS 66213-1305 |
| Mignon M Makos | Neurology | Saint Lukes Physician Group Inc | 12330 Metcalf Ave, Suite 420, Overland Park, KS 66213-1307 |
| Peter J Caruso | Obstetrics/gynecology | Saint Lukes Physician Group Inc | 12330 Metcalf Ave, Suite 420, Overland Park, KS 66213-1307 |
| Find all physicians in zip 66213 | |||
| City | OVERLAND PARK |
| Zip Code | 66213 |
| Specialty | NEPHROLOGY |
| City + Specialty | OVERLAND PARK + NEPHROLOGY |
Please comment or provide details below to improve the information on Johanna L Mccullagh.
| 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.