Jeremy W Cravens
MENORAH MEDICAL GROUP LLC


Address: 6060 N Oak Trfy, Suite 101, Gladstone, MO 64118-5189
Phone: 8169410800

Jeremy W Cravens (NPI# 1134212913, PAC ID# 4880839257) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is COLORECTAL SURGERY (PROCTOLOGY).

Physician Overview

Nation Provider ID (NPI) 1134212913
PAC ID by PECOS 4880839257
Professional Enrollment ID I20140113000948
Full Name Jeremy W Cravens
Organization Legal Name MENORAH MEDICAL GROUP LLC
Address 6060 N Oak Trfy
Suite 101
Gladstone
MO 64118-5189
Phone Number 8169410800
Gender M
Medical School UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduation Year 2006
Primary Specialty COLORECTAL SURGERY (PROCTOLOGY)
Secondary Specialties GENERAL SURGERY
Group Practice PAC ID 1355535162
Number of Group Practice Members 16
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
170104 SHAWNEE MISSION MEDICAL CENTER
170176 OVERLAND PARK REG MED CTR
170182 MENORAH MEDICAL CENTER

Other Locations

Address Phone Organization
6060 N Oak Trfy, Suite 101, Gladstone, MO 64118-5189 8169410800 MENORAH MEDICAL GROUP LLC
4370 W 109th St, Suite 350, Overland Park, KS 66211-1370 8169410800 MENORAH MEDICAL GROUP LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_113_overall Colorectal Cancer Screening 100%
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 75%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%

Organization Information

Organization Legal Name MENORAH MEDICAL GROUP LLC
Physicians 17

Physicians with the same organization

Name Specialty Organization Address
Ivane C Chua Colorectal Surgery (proctology) Menorah Medical Group LLC 4370 W 109th St, Suite 350, Overland Park, KS 66211-1370
Paige N Herschend Nurse Practitioner Menorah Medical Group LLC 19550 E 39th St S, Suite 320, Independence, MO 64057-2358
Kelly James Hendricks Orthopedic Surgery Menorah Medical Group LLC 5701 W 119th St, 410 Kansas City Joint Replacement, Overland Park, KS 66209-3721
Karina Ortiz Nurse Practitioner Menorah Medical Group LLC 5701 W 119th St, 410 Kansas City Joint Replacement, Overland Park, KS 66209-3721
David W Anderson Orthopedic Surgery Menorah Medical Group LLC 5701 W 119th St, 410 Kansas City Joint Replacement, Overland Park, KS 66209-3721
Alicia Cross Tipton Physician Assistant Menorah Medical Group LLC 5701 W 119th St, Overland Park, KS 66209-3721
Matthew G Purtle Physician Assistant Menorah Medical Group LLC 5701 W 119th St, Overland Park, KS 66209-3721
Pierre Castera Colorectal Surgery (proctology) Menorah Medical Group LLC 6060 N Oak Trfy, Suite 101, Gladstone, MO 64118-5189
Katherine Wilson Nurse Practitioner Menorah Medical Group LLC 5701 W 119th St, 410 Kansas City Joint Replacement, Overland Park, KS 66209-3721
Aakash A Shah Orthopedic Surgery Menorah Medical Group LLC 5701 W 119th St, Overland Park, KS 66209-3721

Office Location

Street Address 6060 N OAK TRFY
SUITE 101
City GLADSTONE
State MO
Zip 64118-5189

Physicians in the same location

Name Specialty Organization Address
Roger A De La Torre General Surgery Town Plaza Family Practice LLC 6060 N Oak Trfy, Suite 101, Kansas City, MO 64118-5189
Kevin E Suttmoeller Internal Medicine Town Plaza Family Practice LLC 6060 N Oak Trfy, Suite 101, Kansas City, MO 64118-5189
Pierre Castera Colorectal Surgery (proctology) Menorah Medical Group LLC 6060 N Oak Trfy, Suite 101, Gladstone, MO 64118-5189
John Tann General Surgery Town Plaza Family Practice LLC 6060 N Oak Trfy, Suite 101, Kansas City, MO 64118-5189
Benyamine Mizrahi Colorectal Surgery (proctology) Menorah Medical Group LLC 6060 N Oak Trfy, Suite 101, Gladstone, MO 64118-5189
Lina M Obrien Colorectal Surgery (proctology) Menorah Medical Group LLC 6060 N Oak Trfy, Suite 101, Gladstone, MO 64118-5189

Physicians in the same zip code

Name Specialty Organization Address
Blake M Overly Chiropractic 8002 N Oak Trfy, Suite 112, Kansas City, MO 64118-1272
Mary Jo Hegstrom Physical Therapy Serc Rehabilitation Partners LLC 7932 N Oak Trfy, 212 Serc Metro North, Kansas City, MO 64118-1424
Jessica Elise Winberry Physical Therapy Serc Rehabilitation Partners LLC 7932 N Oak Trfy, 212 Serc Metro North, Kansas City, MO 64118-1424
Angela Marie Nickell Physical Therapy Serc Rehabilitation Partners LLC 7932 N Oak Trfy, 212 Serc Metro North, Kansas City, MO 64118-1424
Kayla Ubel Lingenfelter Physical Therapy Serc Rehabilitation Partners LLC 7932 N Oak Trfy, 212 Serc Metro North, Kansas City, MO 64118-1424
Jaron Thomas Perry Physical Therapy Serc Rehabilitation Partners LLC 7932 N Oak Trfy, 212 Serc Metro North, Kansas City, MO 64118-1424
Vanessa Gail Shaw Physical Therapy Serc Rehabilitation Partners LLC 7932 N Oak Trfy, 212 Serc Metro North, Kansas City, MO 64118-1424
Ashley Marie Fotiadis Physical Therapy Serc Rehabilitation Partners LLC 7932 N Oak Trfy, 212 Serc Metro North, Kansas City, MO 64118-1424
Frank P Siraguso Jr. Chiropractic 7825 N Oak Trfy, Kansas City, MO 64118-1426
Christina M Ebert Clinical Social Worker 21 Nw 78th Ter, Kansas City, MO 64118-1456
Find all physicians in zip 64118

Competitor

Search similar physicians

City GLADSTONE
Zip Code 64118
Specialty COLORECTAL SURGERY (PROCTOLOGY)
City + Specialty GLADSTONE + COLORECTAL SURGERY (PROCTOLOGY)

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Dataset Information

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.

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