Sydney A Stahlberg (NPI# 1306292347, PAC ID# 5496047581) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1306292347 |
| PAC ID by PECOS | 5496047581 |
| Professional Enrollment ID | I20190621002539 |
| Full Name | Sydney A Stahlberg |
| Organization Legal Name | BLUEJACKET EMERGENCY PHYSICIANS LLC |
| Address |
10500 Quivira Rd Overland Park KS 66215-2306 |
| Phone Number | 9135415000 |
| Gender | F |
| Medical School | KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2016 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0648423632 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170176 | OVERLAND PARK REG MED CTR |
| Address | Phone | Organization |
|---|---|---|
| 10500 Quivira Rd, Overland Park, KS 66215-2306 | 9135415000 | BLUEJACKET EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | BLUEJACKET EMERGENCY PHYSICIANS LLC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin K Cherian | Emergency Medicine | Bluejacket Emergency Physicians LLC | 10310 Shawnee Mission Pkwy, Shawnee, KS 66203-3502 |
| Andrew S Dalton | Emergency Medicine | Bluejacket Emergency Physicians LLC | 13505 S Alden St, Olathe, KS 66062-5840 |
| Bradley M Chapman | Emergency Medicine | Bluejacket Emergency Physicians LLC | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
| Nicholas S Hosey | Emergency Medicine | Bluejacket Emergency Physicians LLC | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
| Mark O Scott | Emergency Medicine | Bluejacket Emergency Physicians LLC | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
| Eliana Megerman | Emergency Medicine | Bluejacket Emergency Physicians LLC | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
| Macy M Stork | Nurse Practitioner | Bluejacket Emergency Physicians LLC | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
| Austin Lee Koch | Emergency Medicine | Bluejacket Emergency Physicians LLC | 13505 S Alden St, Olathe, KS 66062-5840 |
| Eric Russell Macrae | Emergency Medicine | Bluejacket Emergency Physicians LLC | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
| Roger M Goldenberg | Emergency Medicine | Bluejacket Emergency Physicians LLC | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
| Street Address |
10500 QUIVIRA RD |
| City | OVERLAND PARK |
| State | KS |
| Zip | 66215-2306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mitchell Allen Morgan | Internal Medicine | Inpatient Consultants of Kansas Pa | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
| Karen E Spencer | Nurse Practitioner | Inpatient Consultants of Kansas Pa | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
| Michael A Sabolovic | Physical Therapy | Overland Park Surgical Specialties LLC | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
| Vijaya P Samuel | Internal Medicine | Quivira Internal Medicine Inc | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
| Khaled R Girgis | Allergy/immunology | Overland Park Surgical Specialties LLC | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
| Virginia K Hoefgen | Nurse Practitioner | Inpatient Consultants of Kansas Pa | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
| Bradley M Chapman | Emergency Medicine | Bluejacket Emergency Physicians LLC | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
| Nicholas S Hosey | Emergency Medicine | Bluejacket Emergency Physicians LLC | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
| Sandra R Stites | Obstetrics/gynecology | Kansas City Womens Clinic Group LLC | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
| Mark O Scott | Emergency Medicine | Bluejacket Emergency Physicians LLC | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ezenwa Kevin Osuala | Nurse Practitioner | Joy E Cuezze Md LLC | 9701 Monrovia St, Lenexa, KS 66215-1564 |
| Eric M Deroo | Urology | Urologic Surgery Associates, Pa | 10550 Quivira Rd, Suite 105, Overland Park, KS 66215-2302 |
| Margaret A. Estrin | Obstetrics/gynecology | The Womens Healthcare Group Pa | 10550 Quivira Rd, Suite 410, Overland Park, KS 66215-2304 |
| Sarah L Darby | Certified Nurse Midwife | The Womens Healthcare Group Pa | 10550 Quivira Rd, Overland Park, KS 66215-2304 |
| Sarah Suzanne Yeamans | Certified Nurse Midwife | The Womens Healthcare Group Pa | 10550 Quivira Rd, Overland Park, KS 66215-2304 |
| Adam J Kaye | General Surgery | Overland Park Orthopedics LLC | 12200 W 106th St, Suite 400, Overland Park, KS 66215-2305 |
| Daniel C Farrell | Orthopedic Surgery | Overland Park Orthopedics LLC | 12200 W 106th St, Suite 400, Overland Park, KS 66215-2305 |
| Thomas F Baldwin | Cardiovascular Disease (cardiology) | Midwest Heart and Vascular Specialists LLC | 12200 W 106th St, Suite 320, Overland Park, KS 66215-2305 |
| Tracy A Cowles | Obstetrics/gynecology | Obstetrics and Pediatrics Subspecialty Group of Kansas and Missouri Pa | 12200 W 106th St, Suite 110, Overland Park, KS 66215-2305 |
| Catherine T Cheshire | Nurse Practitioner | Midwest Heart and Vascular Specialists LLC | 12200 W 106th St, Suite 320, Overland Park, KS 66215-2305 |
| Find all physicians in zip 66215 | |||
| City | OVERLAND PARK |
| Zip Code | 66215 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | OVERLAND PARK + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Sydney A Stahlberg.
| 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.