Johnathon Blake (NPI# 1487040002, PAC ID# 3274836234) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1487040002 |
| PAC ID by PECOS | 3274836234 |
| Professional Enrollment ID | I20190919003047 |
| Full Name | Johnathon Blake |
| Organization Legal Name | PARTNERS IN REHAB MEDICINE |
| Address |
2340 E Meyer Blvd Suite 346 Kansas City MO 64132-1129 |
| Phone Number | 8164441777 |
| Gender | M |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 3678899242 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 8164441777 | PARTNERS IN REHAB MEDICINE |
| 2340 E Meyer Blvd, Suite 346, Kansas City, MO 64132-1129 | 8164441777 | PARTNERS IN REHAB MEDICINE |
| 1201 Wakarusa Dr, Suite C3, Lawrence, KS 66049-3889 | 8164441777 | PARTNERS IN REHAB MEDICINE |
| Organization Legal Name | PARTNERS IN REHAB MEDICINE |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven L Hendler | Physical Medicine and Rehabilitation | Partners In Rehab Medicine | 1201 Wakarusa Dr, Suite C3, Lawrence, KS 66049-3889 |
| Kellian R Kelly | Nurse Practitioner | Partners In Rehab Medicine | 1201 Wakarusa Dr, Suite C3, Lawrence, KS 66049-3889 |
| Christina Garcia | Nurse Practitioner | Partners In Rehab Medicine | 2340 E Meyer Blvd, Suite 346, Kansas City, MO 64132-1129 |
| Shari L Quick | Physical Medicine and Rehabilitation | Partners In Rehab Medicine | 1201 Wakarusa Dr, Suite C3, Lawrence, KS 66049-3889 |
| Andrew C Lueder | Physical Medicine and Rehabilitation | Partners In Rehab Medicine | 2340 E Meyer Blvd, Suite 346, Kansas City, MO 64132-1129 |
| Cheryl A Muro | Nurse Practitioner | Partners In Rehab Medicine | 19600 E 39th St S, Independence, MO 64057-2301 |
| Lorriane D Rowe | Physician Assistant | Partners In Rehab Medicine | 1112 W 6th St, Suite 124, Lawrence, KS 66044-2249 |
| Street Address |
2340 E MEYER BLVD SUITE 346 |
| City | KANSAS CITY |
| State | MO |
| Zip | 64132-1129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karla L Houston-gray | Internal Medicine | Midwest Metropolitan Physicians Group LLC | 2340 E Meyer Blvd, Suite 640, Kansas City, MO 64132-1110 |
| Zachary A Shanitkvich | Obstetrics/gynecology | Midwest Womens Healthcare Specialists LLC | 2340 E Meyer Blvd, Suite 598, Kansas City, MO 64132-1112 |
| Shadrach Smith | Internal Medicine | Encompass Medical Group Pa | 2340 E Meyer Blvd, Suite 642, Kansas City, MO 64132-1110 |
| Craig Steven Stramel | Chiropractic | 2340 E Meyer Blvd, Suite 232, Kansas City, MO 64132-1105 | |
| Christina Garcia | Nurse Practitioner | Partners In Rehab Medicine | 2340 E Meyer Blvd, Suite 346, Kansas City, MO 64132-1129 |
| Katherine J Lorand | Certified Nurse Midwife (cnm) | Midwest Womens Healthcare Specialists LLC | 2340 E Meyer Blvd, Suite 598, Kansas City, MO 64132-1112 |
| Aubree M Remsburg | Certified Nurse Midwife (cnm) | Midwest Womens Healthcare Specialists LLC | 2340 E Meyer Blvd, Suite 598, Kansas City, MO 64132-1112 |
| Rebecca J Ward | Obstetrics/gynecology | Midwest Womens Healthcare Specialists LLC | 2340 E Meyer Blvd, Suite 598, Kansas City, MO 64132-1112 |
| Marjorie M Wongskhaluang | Infectious Disease | Metro Infectious Disease Consultants LLC | 2340 E Meyer Blvd, Suite 348, Kansas City, MO 64132-1129 |
| Sarah Helen Parrott | Osteopathic Manipulative Medicine | Kansas City Care Clinic | 2340 E Meyer Blvd, Suite 200, Kansas City, MO 64132-1121 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pranavkumar K Dalal | Nephrology | 6400 Prospect Ave, Suite 646, Kansas City, MO 64132-1100 | |
| Aaron G Ellison | Family Medicine | Midwest Metropolitan Physicians Group LLC | 2340 E Meyer Blvd, Suite 640, Kansas City, MO 64132-1110 |
| Catherine Spell | Nurse Practitioner | Encompass Medical Group Pa | 2340 E Meyer Blvd, Suite 642, Kansas City, MO 64132-1110 |
| Russell E Tackett | Urology | Russell E Tackett Md PC | 2340 E Meyer Blvd Bldg 2, Suite 440, Kansas City, MO 64132-1112 |
| Natasha Patel | Obstetrics/gynecology | Midwest Womens Healthcare Specialists LLC | 2340 E Meyer Blvd, Suite 598, Kansas City, MO 64132-1112 |
| Meredith C Levine | Obstetrics/gynecology | Midwest Womens Healthcare Specialists LLC | 2340 E Meyer Blvd, Suite 598, Kansas City, MO 64132-1112 |
| Jennifer A Heim | Obstetrics/gynecology | Midwest Womens Healthcare Specialists LLC | 2340 E Meyer Blvd, Suite 598, Kansas City, MO 64132-1112 |
| Tewabe G Kebede | Nephrology | Midwest Nephrology Consultants Pa | 2340 E Meyer Boulevard Bldg 2, Suite 480, Kansas City, MO 64132-1116 |
| Alexis G Thomas | Nephrology | Midwest Nephrology Consultants Pa | 2340 E Meyer Boulevard Building 2, Suite 480, Kansas City, MO 64132-1116 |
| Dhanunjaya R Lakkireddy | Cardiac Electrophysiology | Midwest Heart and Vascular Specialists LLC | 2340 E Meyer 2, Suite 382, Kansas City, MO 64132-1129 |
| Find all physicians in zip 64132 | |||
| City | KANSAS CITY |
| Zip Code | 64132 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | KANSAS CITY + PHYSICAL MEDICINE AND REHABILITATION |
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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.