Darcy Donovan Shaw (NPI# 1942438643, PAC ID# 5496970097) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1942438643 |
| PAC ID by PECOS | 5496970097 |
| Professional Enrollment ID | I20160825001527 |
| Full Name | Darcy Donovan Shaw |
| Organization Legal Name | MENORAH MEDICAL GROUP LLC |
| Address |
19600 E 39th St Centerpoint Medical Center Independence MO 64057-2301 |
| Phone Number | 8166987000 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2009 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | COLORECTAL SURGERY (PROCTOLOGY) |
| Group Practice PAC ID | 1355535162 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260190 | LEE'S SUMMIT MEDICAL CENTER |
| 260095 | CENTERPOINT MEDICAL CENTER |
| 170182 | MENORAH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 19550 E 39th St S, Suite 320, Independence, MO 64057-2358 | 8169410800 | MENORAH MEDICAL GROUP LLC |
| 19600 E 39th St, Centerpoint Medical Center, Independence, MO 64057-2301 | 8166987000 | MENORAH MEDICAL GROUP LLC |
| 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 9134913724 | MENORAH MEDICAL GROUP LLC |
| 2800 Clay Edwards Dr, North Kansas City Hospital, Kansas City, MO 64116-3220 | 8169612000 | MENORAH MEDICAL GROUP LLC |
| 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 | 8162825000 | MENORAH MEDICAL GROUP LLC |
| 4370 W 109th St, Suite 350, Overland Park, KS 66211-1370 | 8169410800 | MENORAH MEDICAL GROUP LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 2% |
| Organization Legal Name | MENORAH MEDICAL GROUP LLC |
| Physicians | 17 |
| 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 |
| Jeremy W Cravens | Colorectal Surgery (proctology) | Menorah Medical Group LLC | 6060 N Oak Trfy, Suite 101, Gladstone, MO 64118-5189 |
| 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 |
| Street Address |
19600 E 39TH ST CENTERPOINT MEDICAL CENTER |
| City | INDEPENDENCE |
| State | MO |
| Zip | 64057-2301 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rick Daniel Downey | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 19600 E 39th St, Centerpoint Medical Center, Independence, MO 64057-2301 |
| Adam J Hoover | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 19600 E 39th St, Centerpoint Medical Center, Independence, MO 64057-2301 |
| Brian R Hendrickson | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 19600 E 39th St, Centerpoint Medical Center, Independence, MO 64057-2301 |
| Christian E Jackson | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 19600 E 39th St, Centerpoint Medical Center, Independence, MO 64057-2301 |
| Angelique I Carroll | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 19600 E 39th St, Centerpoint Medical Center, Independence, MO 64057-2301 |
| Kristie Baker | Internal Medicine | Inpatient Consultants of Kansas Pa | 19600 E 39th St, Centerpoint Medical Center, Independence, MO 64057-2301 |
| Erin M Waldron | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 19600 E 39th St, Centerpoint Medical Center, Independence, MO 64057-2301 |
| Donna K Vanderhoef | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 19600 E 39th St, Centerpoint Medical Center, Independence, MO 64057-2301 |
| Tamara E Crowell | Internal Medicine | 19600 E 39th St, Centerpoint Medical Center, Independence, MO 64057-2301 | |
| Ann Elizabeth Pattin | Anesthesiology | Anesthesia Associates of Kansas City PC | 19600 E 39th St, Centerpoint Medical Center, Independence, MO 64057-2301 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James W Lindsey | Chiropractic | 2333s 291 Hwy, Independence, MO 64057 | |
| Christopher Wise | Orthopedic Surgery | Orthopedic Health of Kansas City PC | 19550 W 39th St, Suite 410, Independence, MO 64057-0001 |
| Andre M Jakoi | Orthopedic Surgery | Orthopedic Health of Kansas City PC | 19550 W 39th St, Suite 410, Independence, MO 64057-0001 |
| Courtney Adams | Physician Assistant | Orthopedic Health of Kansas City PC | 19550 W 39th St, Suite 410, Independence, MO 64057-0001 |
| Jeffrey A Krempec | Orthopedic Surgery | Orthopedic Health of Kansas City PC | 19550 W 39th St, Suite 410, Independence, MO 64057-0001 |
| Nathan J Kiewiet | Orthopedic Surgery | Orthopedic Health of Kansas City PC | 19550 W 39th St, Suite 410, Independence, MO 64057-0001 |
| Janese B Surber | Nurse Practitioner | Orthopedic Health of Kansas City PC | 19550 W 39th St, Suite 410, Independence, MO 64057-0001 |
| Nikki A Vogel | Physician Assistant | Orthopedic Health of Kansas City PC | 19550 W 39th St, Suite 410, Independence, MO 64057-0001 |
| Zachary V Roberts | Orthopedic Surgery | Orthopedic Health of Kansas City PC | 19550 W 39th St, Suite 410, Independence, MO 64057-0001 |
| Alexa Kyl Moberly | Physician Assistant | Orthopedic Health of Kansas City PC | 19550 W 39th St, Suite 410, Independence, MO 64057-0001 |
| Find all physicians in zip 64057 | |||
| City | INDEPENDENCE |
| Zip Code | 64057 |
| Specialty | GENERAL SURGERY |
| City + Specialty | INDEPENDENCE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Darcy Donovan Shaw.
| 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.