Luis F Couchonnal (NPI# 1629287602, PAC ID# 3779752233) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC ELECTROPHYSIOLOGY.
| Nation Provider ID (NPI) | 1629287602 |
| PAC ID by PECOS | 3779752233 |
| Professional Enrollment ID | I20150922000414 |
| Full Name | Luis F Couchonnal |
| Organization Legal Name | PRIME HEALTHCARE PHYSICIAN SERVICES PROVIDENCE INC |
| Address |
615 W Nursery St Bates County Memorial Hospital Butler MO 64730-1840 |
| Phone Number | 6602007000 |
| Gender | M |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | CARDIAC ELECTROPHYSIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| 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 |
| 170146 | PROVIDENCE MEDICAL CENTER |
| 260034 | BATES COUNTY MEMORIAL HOSPITAL |
| 260193 | ST MARYS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 615 W Nursery St, Bates County Memorial Hospital, Butler, MO 64730-1840 | 6602007000 | PRIME HEALTHCARE PHYSICIAN SERVICES PROVIDENCE INC |
| 4801 College Blvd, Leawood, KS 66211-1628 | 9139562250 | 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 |
| Thad A Stephens | Emergency Medicine | Prime Healthcare Physician Services Providence Inc | 1000 Carondelet Dr, Kansas City, MO 64114-4673 |
| 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 |
| Street Address |
615 W NURSERY ST BATES COUNTY MEMORIAL HOSPITAL |
| City | BUTLER |
| State | MO |
| Zip | 64730-1840 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aimee D Kohn | Hematology/oncology | Bates County Memorial Hospital | 615 W Nursery St, Butler, MO 64730-1840 |
| Timothy Brannon | Certified Registered Nurse Anesthetist (crna) | Bates County Memorial Hospital | 615 W Nursery St, Butler, MO 64730-1840 |
| David J Burkart | Interventional Radiology | Prime Healthcare Physician Services Providence Inc | 615 W Nursery St, Bates County Memorial Hospital, Butler, MO 64730-1840 |
| Anthony H Dekker | Emergency Medicine | Electric City Emergency Physicians LLC | 615 W Nursery St, Butler, MO 64730-1840 |
| Jennifer A Eick-jakiela | Clinical Social Worker | Bates County Memorial Hospital | 615 W Nursery St, Butler, MO 64730-1840 |
| Jeffrey R Althoff | Emergency Medicine | Prime Healthcare Physician Services Providence Inc | 615 W Nursery St, Bates County Memorial Hospital, Butler, MO 64730-1840 |
| Jeffrey W Bissing | Cardiovascular Disease (cardiology) | Bates County Memorial Hospital | 615 W Nursery St, Butler, MO 64730-1840 |
| James L Miller | Family Medicine | Bates County Memorial Hospital | 615 W Nursery St, Butler, MO 64730-1840 |
| Jayne L Bumgarner | Family Medicine | Saint Lukes Physician Group Inc | 615 W Nursery St, Butler, MO 64730-1840 |
| James Patterson Iii | Emergency Medicine | Bates County Memorial Hospital | 615 W Nursery St, Butler, MO 64730-1840 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Harrington Miller | Optometry | Noe, Miller and Miller, LLC | 204 W Chestnut St, Butler, MO 64730-1554 |
| Curtis Long | General Practice | Cw Long Enterprises Inc | 200 W Chestnut St, Butler, MO 64730-1554 |
| David Paul Miller | Optometry | Noe, Miller and Miller, LLC | 204 W Chestnut St, Butler, MO 64730-1554 |
| Lindsay B Henderson | Family Practice | Cw Long Enterprises Inc | 200 W Chestnut St, Butler, MO 64730-1554 |
| Benjamin Newell Crary | Family Medicine | Bates County Memorial Hospital | 706 S High St, Butler, MO 64730-1833 |
| John P Bustle | Family Practice | Bates County Memorial Hospital | 615 W Nursery, Butler, MO 64730-1840 |
| William W Haynie | Family Practice | Bates County Memorial Hospital | 617 W Nursery, Butler, MO 64730-1840 |
| Remi Khu | Certified Registered Nurse Anesthetist (crna) | Bates County Memorial Hospital | 617 W Nursery St, Butler, MO 64730-1840 |
| James H Whitaker | Orthopedic Surgery | Bates County Memorial Hospital | 615 W Nursery St, Butler, MO 64730-1840 |
| Emily E Toppass | Chiropractic | 30 N Delaware St, Butler, MO 64730-2027 | |
| Find all physicians in zip 64730 | |||
| City | BUTLER |
| Zip Code | 64730 |
| Specialty | CARDIAC ELECTROPHYSIOLOGY |
| City + Specialty | BUTLER + CARDIAC ELECTROPHYSIOLOGY |
Please comment or provide details below to improve the information on Luis F Couchonnal.
| 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.