Allen B Jetmore (NPI# 1093725111, PAC ID# 3971505041) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is COLORECTAL SURGERY (PROCTOLOGY).
Nation Provider ID (NPI) | 1093725111 |
PAC ID by PECOS | 3971505041 |
Professional Enrollment ID | I20070202000474 |
Full Name | Allen B Jetmore |
Address |
1000 Carondelet Dr Kansas City MO 64114-4673 |
Gender | M |
Credential | MD |
Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1984 |
Primary Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
Secondary Specialties | GENERAL SURGERY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
260085 | ST JOSEPH MEDICAL CENTER |
170176 | OVERLAND PARK REG MED CTR |
170182 | MENORAH MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1000 Carondelet Dr, Kansas City, MO 64114-4673 | ||
500 Nw 68th St, Kansas City, MO 64118-2455 | ||
5830 Nw Barry Rd, St Lukes North Hospital, Kansas City, MO 64154-2778 | ||
930 Carondelet Dr, Suite 200, Kansas City, MO 64114-4698 | ||
11111 Nall Ave, Leawood, KS 66211-1620 | 9134510600 | MIDWEST HEMORRHOID TREATMENT CENTER LLC |
23401 Prairie Star Pkwy, Suite 120, Lenexa, KS 66227-7269 | ||
10500 Quivira Rd, Overland Park, KS 66215-2306 | 9135415353 | MIDWEST HEMORRHOID TREATMENT CENTER LLC |
6505 W 103rd St, Promise Skilled Nursing, Overland Park, KS 66212-1728 | ||
6509 W 103rd St, Promise Hospital, Overland Park, KS 66212-1728 | ||
9100 W 14th St, Shawnee Mission, KS 66204-4004 |
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 |
Thad A Stephens | Emergency Medicine | Prime Healthcare Physician Services Providence Inc | 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 | |
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 | COLORECTAL SURGERY (PROCTOLOGY) |
City + Specialty | KANSAS CITY + COLORECTAL SURGERY (PROCTOLOGY) |
Please comment or provide details below to improve the information on Allen B Jetmore.
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.