Bruce Edward Fearon (NPI# 1689666059, PAC ID# 4082513304) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1689666059 |
| PAC ID by PECOS | 4082513304 |
| Professional Enrollment ID | I20051026000321 |
| Full Name | Bruce Edward Fearon |
| Organization Legal Name | SUMMIT SKIN CARE INCORPORATED |
| Address |
3521 Ne Ralph Powell Rd Suite C Lees Summit MO 64064-2324 |
| Phone Number | 8165547546 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2264459650 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3521 Ne Ralph Powell Rd, Suite C, Lees Summit, MO 64064-2324 | 8165547546 | SUMMIT SKIN CARE INCORPORATED |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% |
| Organization Legal Name | SUMMIT SKIN CARE INCORPORATED |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janelle R Hollingsworth | Nurse Practitioner | Summit Skin Care Incorporated | 3521 Ne Ralph Powell Rd, Suite C, Lees Summit, MO 64064-2324 |
| Adriana E Rascanu | Physical Medicine and Rehabilitation | Summit Skin Care Incorporated | 3521 Ne Ralph Powell Rd C, Lees Summit, MO 64064-2324 |
| Street Address |
3521 NE RALPH POWELL RD SUITE C |
| City | LEES SUMMIT |
| State | MO |
| Zip | 64064-2324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janelle R Hollingsworth | Nurse Practitioner | Summit Skin Care Incorporated | 3521 Ne Ralph Powell Rd, Suite C, Lees Summit, MO 64064-2324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick B Russell | Chiropractic | Lakewood Chiropractic, PC | 731 N E Lakewood Blvd, Lees Summit, MO 64064-1353 |
| Sara L Horn | Chiropractic | Lakewood Chiropractic, PC | 731 N E Lakewood Blvd, Lees Summit, MO 64064-1353 |
| Ryan M Nogle | Chiropractic | Lakewood Chiropractic, PC | 731 N E Lakewood Blvd, Lees Summit, MO 64064-1353 |
| Steven Lawrence Perry | Chiropractic | Lakewood Chiropractic, PC | 731 N E Lakewood Blvd, Lees Summit, MO 64064-1353 |
| Julianne Marie Perrini | Physical Therapy | Serc Rebabilitation Partners, LLC | 827 Ne Lakewood Blvd, Serc Lakewood Blvd, Lees Summit, MO 64064-1366 |
| Drake R Rustici | Chiropractic | 603 A Ne Woods Chapel Rd, Lees Summit, MO 64064-1900 | |
| Brittany J Ghani | Nurse Practitioner | Joy E Cuezze Md LLC | 600 Ne Meadowview Dr, Lees Summit, MO 64064-1983 |
| Kathryn C Twenter | Internal Medicine | Joy E Cuezze Md LLC | 600 Ne Meadowview Dr, Lees Summit, MO 64064-1983 |
| Gretchen M Davis | Nurse Practitioner | Joy E Cuezze Md LLC | 600 Ne Meadowview Dr, Lees Summit, MO 64064-1983 |
| Robin L Larson-molzen | Psychologist, Clinical | Midamericare Limited Liability Company | 600 Ne Meadowview Dr, Lees Summit, MO 64064-1983 |
| Find all physicians in zip 64064 | |||
| City | LEES SUMMIT |
| Zip Code | 64064 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LEES SUMMIT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Bruce Edward Fearon.
| 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.