Lara S Wilson (NPI# 1730573122, PAC ID# 4587975354) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1730573122 |
| PAC ID by PECOS | 4587975354 |
| Professional Enrollment ID | I20150619001426 |
| Full Name | Lara S Wilson |
| Organization Legal Name | MEDICAL GROUP OF KANSAS CITY LLC |
| Address |
6675 Holmes Rd Suite 102 Kansas City MO 64131-1150 |
| Phone Number | 9133399046 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8921091455 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260027 | RESEARCH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6675 Holmes Rd, Suite 102, Kansas City, MO 64131-1150 | 9133399046 | MEDICAL GROUP OF KANSAS CITY LLC |
| Organization Legal Name | MEDICAL GROUP OF KANSAS CITY LLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly F Nagel | Nurse Practitioner | Medical Group of Kansas City LLC | 600 Nw Murray Rd, Suite 210, Lees Summit, MO 64081-1245 |
| Radhika Mathur | Internal Medicine | Medical Group of Kansas City LLC | 6675 Holmes Rd, Suite 550, Kansas City, MO 64131-1167 |
| Michael B Dahl | Internal Medicine | Medical Group of Kansas City LLC | 5701 W 119th St, Suite 115, Overland Park, KS 66209-3721 |
| Chandrasekhar Chilappa | Rheumatology | Medical Group of Kansas City LLC | 2330 E Meyer Blvd, Suite 101, Kansas City, MO 64132-1140 |
| Stephanie A Bailey | Nurse Practitioner | Medical Group of Kansas City LLC | 2330 E Meyer Blvd, Suite 101, Kansas City, MO 64132-1140 |
| Douglas J Mckee | Internal Medicine | Medical Group of Kansas City LLC | 6675 Holmes Rd, Suite 550, Kansas City, MO 64131-1167 |
| Elliott L Franks | Internal Medicine | Medical Group of Kansas City LLC | 5701 W 119th St, Suite 115, Overland Park, KS 66209-3721 |
| Kristine D Mall | Nurse Practitioner | Medical Group of Kansas City LLC | 2330 E Meyer Blvd, Suite 101, Kansas City, MO 64132-1140 |
| Samuel D Hoeper Jr. | Internal Medicine | Medical Group of Kansas City LLC | 5701 W 119th St, Suite 115, Overland Park, KS 66209-3721 |
| Suzanne M Sandhu | Nurse Practitioner | Medical Group of Kansas City LLC | 2330 E Meyer Blvd, Suite 101, Kansas City, MO 64132-1140 |
| Street Address |
6675 HOLMES RD SUITE 102 |
| City | KANSAS CITY |
| State | MO |
| Zip | 64131-1150 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Valerie Lynn Duff | Family Medicine | Goppert Trinity Family Care LLC | 6675 Holmes Rd, Suite 360, Kansas City, MO 64131-1167 |
| Ahmed M Saeed | Internal Medicine | Kansas City Gastroenterology and Hepatology Physicians Group LLC | 6675 Holmes Rd, Suite 430, Kansas City, MO 64131-1167 |
| Chris W Craemer | Family Medicine | Goppert Trinity Family Care LLC | 6675 Holmes Rd, Suite 360, Kansas City, MO 64131-1167 |
| Radhika Mathur | Internal Medicine | Medical Group of Kansas City LLC | 6675 Holmes Rd, Suite 550, Kansas City, MO 64131-1167 |
| Kavitha K Arabindoo | Family Medicine | Goppert Trinity Family Care LLC | 6675 Holmes Rd, Suite 360, Kansas City, MO 64131-1167 |
| Michaela L Galimba | Certified Nurse Midwife (cnm) | Midwest Womens Healthcare Specialists LLC | 6675 Holmes Rd, Suite 300, Kansas City, MO 64131-1167 |
| David S Sneid | Endocrinology | 6675 Holmes Rd, Suite 325, Kansas City, MO 64131-1169 | |
| Sandra L Lepinski | Family Medicine | Goppert Trinity Family Care LLC | 6675 Holmes Rd, Suite 360, Kansas City, MO 64131-1167 |
| Peter E Shapiro | Otolaryngology | 6675 Holmes Rd, Suite 410, Kansas City, MO 64131-1167 | |
| Donald E Philgreen | Family Medicine | Goppert Trinity Family Care LLC | 6675 Holmes Rd, Suite 360, Kansas City, MO 64131-1167 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shanda Lynn Riley | Emergency Medicine | East Meyer Blvd Emergency Physicians LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Deanna M Mahoney | Nurse Practitioner | East Meyer Blvd Emergency Physicians LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Fletcher M Schubert | Nurse Practitioner | East Meyer Blvd Emergency Physicians LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Richard Lee Brown | Internal Medicine | East Meyer Blvd Emergency Physicians LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Daniel D Schaper | Orthopedic Surgery | Midwest Trauma Services LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Dinesh Joitabhai Patel | Family Medicine | East Meyer Blvd Emergency Physicians LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Jon Robert Humiston | Physician Assistant | Midwest Trauma Services LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Brian Charles Kindred | Orthopedic Surgery | Midwest Trauma Services LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Deidra L Charles | Emergency Medicine | East Meyer Blvd Emergency Physicians LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Cristina L Graham | Nurse Practitioner | Midwest Trauma Services LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Find all physicians in zip 64131 | |||
| City | KANSAS CITY |
| Zip Code | 64131 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | KANSAS CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lara S Wilson.
| 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.