Mary L Tillman (NPI# 1679583181, PAC ID# 3971560921) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
Nation Provider ID (NPI) | 1679583181 |
PAC ID by PECOS | 3971560921 |
Professional Enrollment ID | I20041213000046 |
Full Name | Mary L Tillman |
Organization Legal Name | ANESTHESIA ASSOCIATES OF KANSAS CITY PC |
Address |
2100 Se Blue Pkwy Lees Summit Medical Center Lees Summit MO 64063-1007 |
Phone Number | 8162825000 |
Gender | F |
Credential | CNA |
Graduation Year | 1982 |
Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Group Practice PAC ID | 1951206168 |
Number of Group Practice Members | 188 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
260190 | LEE'S SUMMIT MEDICAL CENTER |
260027 | RESEARCH MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 | 8162825000 | ANESTHESIA ASSOCIATES OF KANSAS CITY PC |
10730 Nall Ave, 100 South Kansas City Surgicenter, Overland Park, KS 66211-1242 | 9139019000 | ANESTHESIA ASSOCIATES OF KANSAS CITY PC |
Organization Legal Name | ANESTHESIA ASSOCIATES OF KANSAS CITY PC |
Physicians | 199 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ashton L Ringen | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 8800 Ballentine St, Overland Park, KS 66214-1900 |
Meghan S Vaughan | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 17065 S 71 Hwy, Belton Regional Medical Center, Belton, MO 64012-2165 |
Lisa A Noyes | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 8935 State Ave, Kansas City, KS 66112-1645 |
Sonya M Jurgens | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 5721 W 119th St, Menorah Medical Center, Overland Park, KS 66209-3722 |
Nicholas W Muller | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 10730 Nall Ave, 100 South Kansas City Surgicenter, Overland Park, KS 66211-1242 |
Rick Daniel Downey | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 19600 E 39th St, Centerpoint Medical Center, Independence, MO 64057-2301 |
Brian A Casement | Anesthesiology | Anesthesia Associates of Kansas City PC | 2323 E 63rd St, Research Psychiatric Center, Kansas City, MO 64130-3462 |
Sarah J Clutter | Anesthesiology | Anesthesia Associates of Kansas City PC | 5721 W 119th St, Menorah Medical Center, Overland Park, KS 66209-3722 |
Michael S Filla | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
Jeffrey W Brennan | Anesthesiology | Anesthesia Associates of Kansas City PC | 5721 W 119th St, Menorah Medical Center, Overland Park, KS 66209-3722 |
Street Address |
2100 SE BLUE PKWY LEES SUMMIT MEDICAL CENTER |
City | LEES SUMMIT |
State | MO |
Zip | 64063-1007 |
Name | Specialty | Organization | Address |
---|---|---|---|
Wilmer E Morales-hernandez | Emergency Medicine | Blue Parkway Emergency Physicians LLC | 2100 Se Blue Pkwy, Lee's Summit, MO 64063-1007 |
Michael S Filla | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
Charles I Carino | Emergency Medicine | Blue Parkway Emergency Physicians LLC | 2100 Se Blue Pkwy, Lee's Summit, MO 64063-1007 |
Megan L Sneed | Obstetrics/gynecology | Womens Center At Brookside LLC | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
Katherine T Cundiff | Anesthesiology | Anesthesia Associates of Kansas City PC | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
Jennifer N Gibson | Nurse Practitioner | Blue Parkway Emergency Physicians LLC | 2100 Se Blue Pkwy, Lee's Summit, MO 64063-1007 |
Nicole R Cloutier | Emergency Medicine | Blue Parkway Emergency Physicians LLC | 2100 Se Blue Pkwy, Lee's Summit, MO 64063-1007 |
Elizabeth A Bertschy | Nurse Practitioner | Kansas City Gastroenterology and Hepatology Physicians Group LLC | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
Michael J Connor | Gastroenterology | Kansas City Gastroenterology and Hepatology Physicians Group LLC | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
Kirstin C Hirni | Internal Medicine | Kc Hospitalists Pa | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Leopoldine E Blaise | Nurse Practitioner | Joy E Cuezze Md LLC | 2160 Se Blue Pkwy, Addington Place of Lees Summit, Lees Summit, MO 64063-1007 |
Brandon Weckbaugh | Internal Medicine | Kc Hospitalists Pa | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
James Stephen Scott | General Surgery | Town Plaza Family Practice LLC | 2100 Se Blue Pkwy, Lee's Summit, MO 64063-1007 |
Shubra Srinivas | Internal Medicine | Kc Hospitalists Pa | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
Paula E Gough | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
Shelley Anne Watts | Nurse Practitioner | Kc Hospitalists Pa | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
Jennifer K Schwarz | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
Eric Roychowdhury | Hospitalist | Kc Hospitalists Pa | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
Richard K Capling | Nephrology | Kc Hospitalists Pa | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
Mohd L Boda | Internal Medicine | Lee's Summit Family Care LLC | 2100 Se Blue Pkwy, Lee's Summit, MO 64063-1007 |
Find all physicians in zip 64063 |
City | LEES SUMMIT |
Zip Code | 64063 |
Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
City + Specialty | LEES SUMMIT + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Mary L Tillman.
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.