Mark H Dewolfe (NPI# 1124021142, PAC ID# 5193808871) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1124021142 |
| PAC ID by PECOS | 5193808871 |
| Professional Enrollment ID | I20081211000086 |
| Full Name | Mark H Dewolfe |
| Organization Legal Name | SAINT LUKES PHYSICIAN GROUP INC |
| Address |
2525 Glen Hendren Dr Liberty MO 64068-9625 |
| Phone Number | 8167817200 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1977 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 3577476894 |
| Number of Group Practice Members | 862 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260138 | ST LUKES HOSPITAL OF KANSAS CITY |
| 260177 | NEW LIBERTY HOSPITAL DISTRICT |
| 261309 | WRIGHT MEMORIAL HOSPITAL |
| 260062 | SAINT LUKES NORTH HOSPITAL |
| 260096 | NORTH KANSAS CITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-5939 | 8169311883 | SAINT LUKES PHYSICIAN GROUP INC |
| 5830 Nw Barry Rd, Kansas City, MO 64154-2778 | 8168913000 | SAINT LUKES PHYSICIAN GROUP INC |
| 2525 Glen Hendren Dr, Liberty, MO 64068-9625 | 8167817200 | SAINT LUKES PHYSICIAN GROUP INC |
| 700 Branch St, Suite 1, Platte City, MO 64079-9298 | 8168584600 | SAINT LUKES PHYSICIAN GROUP INC |
| 601 S 169 Hwy, Smithville, MO 64089-9317 | 8165323700 | SAINT LUKES PHYSICIAN GROUP INC |
| 601 S Us Hwy 169, Smithville, MO 64089-9317 | 8165323999 | SAINT LUKES PHYSICIAN GROUP INC |
| Organization Legal Name | SAINT LUKES PHYSICIAN GROUP INC |
| Physicians | 837 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Keith Twillman | Psychologist, Clinical | Saint Lukes Physician Group Inc | 4225 Baltimore Ave, Kansas City, MO 64111-2304 |
| Neelofar Lalani | Psychiatry | Saint Lukes Physician Group Inc | 601 S 169 Hwy, Smithville, MO 64089-9317 |
| Benjamin J Kulow | General Surgery | Saint Lukes Physician Group Inc | 5844 Nw Barry Rd, Suite 120, Kansas City, MO 64154-1483 |
| Anthony Hamid Tabatabai | General Surgery | Saint Lukes Physician Group Inc | 120 Ne Saint Lukes Blvd, Suite 220, Lees Summit, MO 64086-6000 |
| Edgar Friedrich Prasthofer | Hematology/oncology | Saint Lukes Physician Group Inc | 110 Ne Saint Lukes Blvd, Suite 500, Lees Summit, MO 64086-6000 |
| Carl Dubose | Psychiatry | Saint Lukes Physician Group Inc | 4400 Broadway, Suite 407, Kansas City, MO 64111-3342 |
| Yuri Shif | Diagnostic Radiology | Saint Lukes Physician Group Inc | 700 Branch St, Suite 1, Platte City, MO 64079-9298 |
| Rebekah J. Abbott | Family Medicine | Saint Lukes Physician Group Inc | 5405 W 151st St, Slmg Blue Valley, Leawood, KS 66224-8700 |
| Daniel Steinhaus | Cardiac Electrophysiology | Saint Lukes Physician Group Inc | 1004 Progress Dr, Suite 220, Lansing, KS 66043-6327 |
| Sherry Lee Broadhurst | Nurse Practitioner | Saint Lukes Physician Group Inc | 4401 Wornall Rd, Kansas City, MO 64111-3220 |
| Street Address |
2525 GLEN HENDREN DR |
| City | LIBERTY |
| State | MO |
| Zip | 64068-9625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie A Marx | Internal Medicine | New Liberty Hospital Corporation | 2525 Glen Hendren Dr, Liberty, MO 64068-9625 |
| Theron B Barr | Emergency Medicine | Liberty Hospital Emergency Medicine Physicians LLC | 2525 Glen Hendren Dr, Liberty, MO 64068-9625 |
| Joseph Caresio | Diagnostic Radiology | Alliance Radiology Pa | 2525 Glen Hendren Dr, Liberty, MO 64068-9625 |
| Charles D Markowitz | Anesthesiology | James F. Piontek Inc. | 2525 Glen Hendren Dr, Liberty, MO 64068-9625 |
| Jennifer P Nguyen | Anesthesiology Assistant | James F. Piontek Inc. | 2525 Glen Hendren Dr, Liberty, MO 64068-9625 |
| Kathryn Carmichael Coulson | Emergency Medicine | Liberty Hospital Emergency Medicine Physicians LLC | 2525 Glen Hendren Dr, Liberty, MO 64068-9625 |
| Jamie Nafzinger | Anesthesiology Assistant | James F. Piontek Inc. | 2525 Glen Hendren Dr, Liberty, MO 64068-9625 |
| Sheila M Alton | Emergency Medicine | Liberty Hospital Emergency Medicine Physicians LLC | 2525 Glen Hendren Dr, Liberty, MO 64068-9625 |
| Melanie J Guthrie | Anesthesiology Assistant | James F. Piontek Inc. | 2525 Glen Hendren Dr, Liberty, MO 64068-9625 |
| Malinda M Stone | Nurse Practitioner | Liberty Hospital Emergency Medicine Physicians LLC | 2525 Glen Hendren Dr, Liberty, MO 64068-9625 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hannah Page | Occupational Therapy | Arc Physical Therapy Plus Lp | 527 N State Route 291 A, Liberty, MO 64068-1045 |
| Scott Joseph Mcknight | Ophthalmology | Mcknight Eye Centers, PC | 515 N State Route 291, Liberty, MO 64068-1045 |
| Maria Gabriela Miller | Physical Therapy | Arc Physical Therapy Plus Lp | 527 N State Route 291 A, Liberty, MO 64068-1045 |
| Brett J Mcknight | Ophthalmology | Mcknight Eye Centers, PC | 515 N State Route 291, Liberty, MO 64068-1045 |
| Dustin S Mcknight | Ophthalmology | Mcknight Eye Centers, PC | 515 N State Route 291, Liberty, MO 64068-1045 |
| Anthony T Brand | Optometry | Mcknight Eye Centers, PC | 515 N State Route 291, Liberty, MO 64068-1045 |
| Kathryn A Hembree | Ophthalmology | Northland Eye Specialists PC | 1200 Landmark Ave, Liberty, MO 64068-1051 |
| Christine L Mitts | Optometry | Northland Eye Specialists PC | 1200 Landmark Ave, Liberty, MO 64068-1051 |
| Andrea R Keele | Optometry | Northland Eye Specialists PC | 1200 Landmark Ave, Liberty, MO 64068-1051 |
| Janet M Boschert | Optometry | Northland Eye Specialists PC | 1200 Landmark Ave, Liberty, MO 64068-1051 |
| Find all physicians in zip 64068 | |||
| City | LIBERTY |
| Zip Code | 64068 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | LIBERTY + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Mark H Dewolfe.
| 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.