Thomas C Hewitt
CAPTAIN DOC LLC


Address: 6717 N Oak Trfy, Gladstone, MO 64118-3346
Phone: 8164521211

Thomas C Hewitt (NPI# 1508980657, PAC ID# 5294826491) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.

Physician Overview

Nation Provider ID (NPI) 1508980657
PAC ID by PECOS 5294826491
Professional Enrollment ID I20070802000064
Full Name Thomas C Hewitt
Organization Legal Name CAPTAIN DOC LLC
Address 6717 N Oak Trfy
Gladstone
MO 64118-3346
Phone Number 8164521211
Gender M
Medical School BARRY UNIVERSITY SCHOOL PODIATRIC MEDICINE
Graduation Year 2005
Primary Specialty PODIATRY
Group Practice PAC ID 2668404096
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
6717 N Oak Trfy, Gladstone, MO 64118-3346 8164521211 CAPTAIN DOC 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
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name CAPTAIN DOC LLC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Kori Taylor Podiatry Captain Doc LLC 6717 N Oak Trfy, Gladstone, MO 64118-3346

Office Location

Street Address 6717 N OAK TRFY
City GLADSTONE
State MO
Zip 64118-3346

Physicians in the same location

Name Specialty Organization Address
Kori Taylor Podiatry Captain Doc LLC 6717 N Oak Trfy, Gladstone, MO 64118-3346

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 PODIATRY
City + Specialty GLADSTONE + PODIATRY

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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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