Zandra R Gottman (NPI# 1235529512, PAC ID# 4789903493) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1235529512 |
| PAC ID by PECOS | 4789903493 |
| Professional Enrollment ID | I20150430002429 |
| Full Name | Zandra R Gottman |
| Organization Legal Name | BELTON FAMILY PRACTICE CLINIC LLC |
| Address |
17067 S Us Hwy 71 Suite 100 Belton MO 64012-2100 |
| Phone Number | 8163317744 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5193717601 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260214 | BELTON REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 17067 S Outer Rd, Suite 100, Belton, MO 64012-2100 | 8163314000 | BELTON FAMILY PRACTICE CLINIC LLC |
| 17067 S Us Hwy 71, Suite 100, Belton, MO 64012-2100 | 8163317744 | BELTON FAMILY PRACTICE CLINIC LLC |
| Organization Legal Name | BELTON FAMILY PRACTICE CLINIC LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Williams | Family Medicine | Belton Family Practice Clinic LLC | 17067 S Us Hwy 71, Suite 100, Belton, MO 64012-2100 |
| Kent A Bogner | Family Medicine | Belton Family Practice Clinic LLC | 17067 S Us Hwy 71, Suite 100, Belton, MO 64012-2100 |
| Logan F Kratt | Family Medicine | Belton Family Practice Clinic LLC | 17067 S Outer Rd, Suite 100, Belton, MO 64012-2100 |
| Douglas L Bradley | Family Medicine | Belton Family Practice Clinic LLC | 17067 S Outer Rd, Suite 100, Belton, MO 64012-2100 |
| Bridget M Stillwell | Nurse Practitioner | Belton Family Practice Clinic LLC | 17067 S Outer Rd, Suite 100, Belton, MO 64012-2100 |
| Ossama Al-assafeen | Internal Medicine | Belton Family Practice Clinic LLC | 17067 S Outer Rd, Suite 100, Belton, MO 64012-2100 |
| Kirk D Ridley | Family Medicine | Belton Family Practice Clinic LLC | 17067 S Us Hwy 71, Suite 100, Belton, MO 64012-2100 |
| Purnima S Mohan | Family Practice | Belton Family Practice Clinic LLC | 17067 S Us Hwy 71, Suite 100, Belton, MO 64012-2100 |
| Street Address |
17067 S US HWY 71 SUITE 100 |
| City | BELTON |
| State | MO |
| Zip | 64012-2100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Williams | Family Medicine | Belton Family Practice Clinic LLC | 17067 S Us Hwy 71, Suite 100, Belton, MO 64012-2100 |
| Kent A Bogner | Family Medicine | Belton Family Practice Clinic LLC | 17067 S Us Hwy 71, Suite 100, Belton, MO 64012-2100 |
| Kirk D Ridley | Family Medicine | Belton Family Practice Clinic LLC | 17067 S Us Hwy 71, Suite 100, Belton, MO 64012-2100 |
| Purnima S Mohan | Family Practice | Belton Family Practice Clinic LLC | 17067 S Us Hwy 71, Suite 100, Belton, MO 64012-2100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Breann K Smith | Hospitalist | Connectcare Hospitalists LLC | 17065 S U S 71 Hwy, Belton Regional Medical Center, Belton, MO 64012 |
| Melissa S Campbell | Nurse Practitioner | Connectcare Hospitalists LLC | 17065 S U S 71 Hwy, Belton Regional Medical Center, Belton, MO 64012 |
| John Paul Armilio | Family Medicine | Connectcare Hospitalists LLC | 17065 S U S 71 Hwy, Belton Regional Medical Center, Belton, MO 64012 |
| Nilofar D Rahman | Hospitalist | Connectcare Hospitalists LLC | 17065 S U S 71 Hwy, Belton Regional Medical Center, Belton, MO 64012 |
| Amy W Gemperli | Ophthalmology | Heart of America Eye Care, P.a. | 424 E N Ave, Belton, MO 64012-2017 |
| Amy E Ciccio | Ophthalmology | Heart of America Eye Care, P.a. | 424 E N Ave, Belton, MO 64012-2017 |
| Ginger E Cline | Optometry | Heart of America Eye Care, P.a. | 424 E N Ave, Belton, MO 64012-2017 |
| Alan E Bauman | Ophthalmology | State Line Eye Care Center, PC | 424 E N Ave, Cass County Eye Care Ctr, Belton, MO 64012-2017 |
| Rick D Thomas | Clinical Psychologist | 409 N Scott Ave, Belton, MO 64012-2035 | |
| Robert A Bondi | Podiatry | 115 Bradford Lane, Belton, MO 64012-2086 | |
| Find all physicians in zip 64012 | |||
| City | BELTON |
| Zip Code | 64012 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BELTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Zandra R Gottman.
| 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.