Ahmad Qaddour (NPI# 1003160987, PAC ID# 5890949374) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1003160987 |
| PAC ID by PECOS | 5890949374 |
| Professional Enrollment ID | I20141230000976 |
| Full Name | Ahmad Qaddour |
| Organization Legal Name | KANSAS MEDICAL CENTER LLC |
| Address |
510 E Carthage St Meade KS 67864-0820 |
| Phone Number | 6208732141 |
| Gender | M |
| Graduation Year | 1991 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 2668476862 |
| Number of Group Practice Members | 46 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170197 | KANSAS MEDICAL CENTER LLC |
| 170068 | SOUTHWEST MEDICAL CENTER |
| 171321 | MEADE DISTRICT HOSPITAL |
| 170191 | GREAT BEND REGIONAL HOSPITAL |
| 171344 | WILSON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 510 E Carthage St, Meade, KS 67864-0820 | 6208732141 | KANSAS MEDICAL CENTER LLC |
| Organization Legal Name | KANSAS MEDICAL CENTER LLC |
| Physicians | 46 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miranda L Vancil | Nurse Practitioner | Kansas Medical Center LLC | 1410 N Woodlawn Blvd, Family Health Center, Derby, KS 67037-2953 |
| Gerald T Estep | Emergency Medicine | Kansas Medical Center LLC | 9840 E 21st St N, Kmc Emergency Department At Webb Rd, Wichita, KS 67206-3589 |
| Jill C Gallagher | Certified Registered Nurse Anesthetist (crna) | Kansas Medical Center LLC | 1124 W 21st St, Andover Anesthesia, Andover, KS 67002-5500 |
| Jason A Hampl | Family Medicine | Kansas Medical Center LLC | 307 W Hwy 54 300, Flint Hills Medical Clinic, Andover, KS 67002-7846 |
| Casandra Lea Butler | Internal Medicine | Kansas Medical Center LLC | 1124 W 21st St, Andover, KS 67002-5500 |
| Melissa Martinez-huckleby | Nurse Practitioner | Kansas Medical Center LLC | 9300 E 29th St N, Suite 310, Wichita, KS 67226-2160 |
| Paige H Dodson | Family Medicine | Kansas Medical Center LLC | 1124 W 21st St, Emergency Medicine, Andover, KS 67002-5500 |
| Jeff Andrew Carpenter | Certified Registered Nurse Anesthetist (crna) | Kansas Medical Center LLC | 1124 W 21st St, Andover Anesthesia, Andover, KS 67002-5500 |
| Edward Wade | Anesthesiology | Kansas Medical Center LLC | 1124 W 21st St, Andover Anesthesia, Andover, KS 67002-5500 |
| Daniel Brendan Rice | Emergency Medicine | Kansas Medical Center LLC | 1124 W 21st St, Emergency Medicine, Andover, KS 67002-5500 |
| Street Address |
510 E CARTHAGE ST |
| City | MEADE |
| State | KS |
| Zip | 67864-0820 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John P Powers | Podiatry | Meade Hospital District | 510 E Carthage Box, 820 Meade District Hospital, Meade, KS 67864-6401 |
| Merrill E Hoover | Nurse Practitioner | Meade Hospital District | 510 E Carthage Box, 820 Meade District Hospital, Meade, KS 67864-6401 |
| Christine Donnelly | Family Medicine | Meade Hospital District | 510 E Carthage Box, 820 Meade District Hospital, Meade, KS 67864-6401 |
| Jonathan A Bigler | Physician Assistant | Meade Hospital District | 510 E Carthage Box, 820 Meade District Hospital, Meade, KS 67864-6401 |
| James D Green | Nurse Practitioner | Meade Hospital District | 510 E Carthage Box, 820 Meade District Hospital, Meade, KS 67864-6401 |
| Melissa P Whitney | Physician Assistant | Meade Hospital District | 510 E Carthage Box, 820 Meade District Hospital, Meade, KS 67864-6401 |
| Seeley T Feldmeyer | General Practice | Meade Hospital District | 510 E Carthage Box, 820 Meade District Hospital, Meade, KS 67864-6401 |
| Rebecca A Rodarmel | Physician Assistant | Meade Hospital District | 510 E Carthage Box, 820 Meade District Hospital, Meade, KS 67864-6401 |
| Harold Mark Chalker | Chiropractic | 234 E Carthage St, Meade, KS 67864-6490 |
| City | MEADE |
| Zip Code | 67864 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | MEADE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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| 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.