Johnson Underwood Iv
NORTHLAND RADIOLOGY, INC.


Address: 2800 Clay Edwards Dr, Northland Radiology, N Kansas City, MO 64116-3220
Phone: 9136424900

Johnson Underwood Iv (NPI# 1861429979, PAC ID# 5496844995) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1861429979
PAC ID by PECOS 5496844995
Professional Enrollment ID I20100814000065
Full Name Johnson Underwood Iv
Organization Legal Name NORTHLAND RADIOLOGY, INC.
Address 2800 Clay Edwards Dr
Northland Radiology
N Kansas City
MO 64116-3220
Phone Number 9136424900
Gender M
Medical School UNIVERSITY OF KANSAS SCHOOL OF MEDICINE
Graduation Year 1992
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 4284689043
Number of Group Practice Members 12
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
260096 NORTH KANSAS CITY HOSPITAL
170040 UNIVERSITY OF KANSAS HOSPITAL
261321 HEDRICK MEDICAL CENTER

Other Locations

Address Phone Organization
5501 Nw 62nd Terrace, 200 Tremont Medical Imaging, Kansas City, MO 64151-2408 8166918000 NORTHLAND RADIOLOGY, INC.
2800 Clay Edwards Dr, Northland Radiology, N Kansas City, MO 64116-3220 9136424900 NORTHLAND RADIOLOGY, INC.

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_195_overall Radiology: Stenosis Measurement in Carotid Imaging Reports 100%

Organization Information

Organization Legal Name NORTHLAND RADIOLOGY, INC.
Physicians 11

Physicians with the same organization

Name Specialty Organization Address
Julia J Neperud Diagnostic Radiology Northland Radiology, Inc. 2800 Clay Edwards Dr, Northland Radiology, N Kansas City, MO 64116-3220
Marci A Brecheisen Diagnostic Radiology Northland Radiology, Inc. 2800 Clay Edwards Dr, Northland Radiology, N Kansas City, MO 64116-3220
Timothy Owen Waltner Diagnostic Radiology Northland Radiology, Inc. 2800 Clay Edwards Dr, Northland Radiology, N Kansas City, MO 64116-3220
Benjamin E Northrup Diagnostic Radiology Northland Radiology, Inc. 2800 Clay Edwards Dr, Northland Radiology, N Kansas City, MO 64116-3220
Michael J Krahn Diagnostic Radiology Northland Radiology, Inc. 2800 Clay Edwards Dr, Northland Radiology, N Kansas City, MO 64116-3220
Zachary K Shafer Diagnostic Radiology Northland Radiology, Inc. 2800 Clay Edwards Dr, Northland Radiology, N Kansas City, MO 64116-3220
David A Feiock Diagnostic Radiology Northland Radiology, Inc. 2800 Clay Edwards Dr, Northland Radiology, N Kansas City, MO 64116-3220
Patrick W Okeefe Diagnostic Radiology Northland Radiology, Inc. 2800 Clay Edwards Dr, Northland Radiology, N Kansas City, MO 64116-3220
Christopher C Formen Diagnostic Radiology Northland Radiology, Inc. 2800 Clay Edwards Dr, Northland Radiology, N Kansas City, MO 64116-3220
Roger R Ivey Diagnostic Radiology Northland Radiology, Inc. 2800 Clay Edwards Dr, Northland Radiology, N Kansas City, MO 64116-3220

Office Location

Street Address 2800 CLAY EDWARDS DR
NORTHLAND RADIOLOGY
City N KANSAS CITY
State MO
Zip 64116-3220

Physicians in the same location

Name Specialty Organization Address
Douglas S Ham Emergency Medicine Midwest Emergency Medical Services PC 2800 Clay Edwards Dr, N Kansas City, MO 64116-3220
Jason Scott L Holly Pathology Mawd Pathology Group Pa 2800 Clay Edwards Dr, Kansas City, MO 64116-3220
Bruce W Durkee Anesthesiology Northland Anesthesiology Inc 2800 Clay Edwards Dr, North Ks City Hosp, North Kansas City, MO 64116-3220
Julia J Neperud Diagnostic Radiology Northland Radiology, Inc. 2800 Clay Edwards Dr, Northland Radiology, N Kansas City, MO 64116-3220
Marci A Brecheisen Diagnostic Radiology Northland Radiology, Inc. 2800 Clay Edwards Dr, Northland Radiology, N Kansas City, MO 64116-3220
Todd J Zellmer Certified Registered Nurse Anesthetist (crna) Northland Anesthesiology Inc 2800 Clay Edwards Dr, North Ks City Hosp, North Kansas City, MO 64116-3220
Robert S Strobach Pathology Mawd Pathology Group Pa 2800 Clay Edwards Dr, Kansas City, MO 64116-3220
David E Ewing Pathology Mawd Pathology Group Pa 2800 Clay Edwards Dr, Kansas City, MO 64116-3220
Stephanie R Dilley Certified Registered Nurse Anesthetist (crna) Northland Anesthesiology Inc 2800 Clay Edwards Dr, North Ks City Hosp, North Kansas City, MO 64116-3220
Lancer M Gates Hospitalist Gates Hospitalists LLC 2800 Clay Edwards Dr, Nkc Hospital, North Kansas City, MO 64116-3220
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Physicians in the same zip code

Name Specialty Organization Address
Dana Raymond Towle Hand Surgery 4444 N Belleview Ave, Suite 204, Kansas City, MO 64116-1507
Julian Romell Giles Chiropractic 4444 N Belleview Ave, Suite 104, Kansas City, MO 64116-1507
Amanda Lynne Munden Nurse Practitioner Ivxpress Inc 1201 Nw Briarcliff Pkwy, 125 Briarcliff, Kansas City, MO 64116-1774
Amy Callaway Carpenter Nurse Practitioner Ivxpress Inc 1201 Nw Briarcliff Pkwy, 125 Briarcliff, Kansas City, MO 64116-1774
Breanna Muniz Nurse Practitioner Ivxpress Inc 1201 Nw Briarcliff Pkwy, 125 Briarcliff, Kansas City, MO 64116-1774
Lori J Schwartz Nurse Practitioner Ivxpress Inc 1201 Nw Briarcliff Pkwy, 125 Briarcliff, Kansas City, MO 64116-1774
Patrick Gayle Jensen Nurse Practitioner Ivxpress Inc 1201 Nw Briarcliff Pkwy, 125 Briarcliff, Kansas City, MO 64116-1774
Rachel Beggs Nurse Practitioner Ivxpress Inc 1201 Nw Briarcliff Pkwy, 125 Briarcliff, Kansas City, MO 64116-1774
Kaitlyn R Demaree Certified Registered Nurse Anesthetist (crna) Sheridan Healthcare of Missouri Inc 4150 N Mulberrry Dr, Kansas City, MO 64116-1779
Judith A Bickel Certified Registered Nurse Anesthetist (crna) Sheridan Healthcare of Missouri Inc 4150 N Mulberrry Dr, Kansas City, MO 64116-1779
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Competitor

Search similar physicians

City N KANSAS CITY
Zip Code 64116
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty N KANSAS CITY + DIAGNOSTIC RADIOLOGY

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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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