Kelly R Gordon (NPI# 1063495711, PAC ID# 6305748989) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
Nation Provider ID (NPI) | 1063495711 |
PAC ID by PECOS | 6305748989 |
Professional Enrollment ID | I20040302001164 |
Full Name | Kelly R Gordon |
Organization Legal Name | SHERIDAN HEALTHCARE OF MISSOURI INC |
Address |
1000 Carondelet Dr Kansas City MO 64114-4673 |
Phone Number | 8169424400 |
Gender | F |
Credential | CNA |
Graduation Year | 2000 |
Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
Group Practice PAC ID | 0244250785 |
Number of Group Practice Members | 34 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
260097 | WESTERN MISSOURI MEDICAL CENTER |
260085 | ST JOSEPH MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1000 Carondelet Dr, Kansas City, MO 64114-4673 | 8169424400 | SHERIDAN HEALTHCARE OF MISSOURI INC |
3901 Rainbow Blvd, Kansas City, KS 66160-7415 | 9135883315 | KANSAS UNIVERSITY PHYSICIANS INC |
403 Burkarth Rd, Warrensburg, MO 64093-3101 | 6607472500 | SHERIDAN HEALTHCARE OF MISSOURI INC |
Organization Legal Name | SHERIDAN HEALTHCARE OF MISSOURI INC |
Physicians | 17 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kaitlyn R Demaree | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Missouri Inc | 4150 N Mulberrry Dr, Kansas City, MO 64116-1779 |
Scott C Smith | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Missouri Inc | 403 Burkarth Rd, Warrensburg, MO 64093-3101 |
Ty P Perkins | Emergency Medicine | Sheridan Healthcare of Missouri Inc | 403 Burkarth Rd, Warrensburg, MO 64093-3101 |
Albert J Giambrone | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Missouri Inc | 403 Burkarth Rd, Warrensburg, MO 64093-3101 |
Katie E Jolliffe | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Missouri Inc | 403 Burkarth Rd, Warrensburg, MO 64093-3101 |
Beverly J Long | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Missouri Inc | 403 Burkarth Rd, Warrensburg, MO 64093-3101 |
Charlene I Carino-warren | Anesthesiology | Sheridan Healthcare of Missouri Inc | 403 Burkarth Rd, Warrensburg, MO 64093-3101 |
Judith A Bickel | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Missouri Inc | 4150 N Mulberrry Dr, Kansas City, MO 64116-1779 |
Joy J Nelson | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Missouri Inc | 403 Burkarth Rd, Warrensburg, MO 64093-3101 |
Nathan W Simmons | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Missouri Inc | 403 Burkarth Rd, Warrensburg, MO 64093-3101 |
Street Address |
1000 CARONDELET DR |
City | KANSAS CITY |
State | MO |
Zip | 64114-4673 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christopher Thomas Cummings | General Surgery | Overland Park Medical Specialists LLC | 1000 Carondelet Dr, Kansas City, MO 64114-4673 |
Adam C Bales | Anesthesiology | Northstar Anesthesia of Missouri LLC | 1000 Carondelet Dr, Kansas City, MO 64114-4673 |
Thad A Stephens | Emergency Medicine | Prime Healthcare Physician Services Providence Inc | 1000 Carondelet Dr, Kansas City, MO 64114-4673 |
Neal B Deutch | Psychologist, Clinical | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | |
Mark S Walton | Otolaryngology | Head and Neck Surgery of Kansas City P A | 1000 Carondelet Dr, Kansas City, MO 64114-4673 |
Patrick M Otoole | Diagnostic Radiology | Alliance Radiology Pa | 1000 Carondelet Dr, Kansas City, MO 64114-4673 |
Ujjaval M Patel | Interventional Cardiology | Midwest Heart and Vascular Specialists LLC | 1000 Carondelet Dr, Kansas City, MO 64114-4673 |
Donald L Cohen | Internal Medicine | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | |
Allen B Jetmore | Colorectal Surgery (proctology) | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | |
Daniel K Bixler | Emergency Medicine | Cep America LLC | 1000 Carondelet Dr, Kansas City, MO 64114-4673 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Judy I Moore | Psychologist, Clinical | 101 E Gregory Blvd, Kansas City, MO 64114-1119 | |
Esther B Markus | Psychologist, Clinical | 101 E Gregory Blvd, Kansas City, MO 64114-1119 | |
James Michael Lecluyse | Clinical Social Worker | 222 W Gregory Blvd, Suite 310, Kansas City, MO 64114-1127 | |
Mark Thomas Mcgonigle | Clinical Social Worker | 222 W Gregory Blvd, Suite 310, Kansas City, MO 64114-1127 | |
Arnold V Abels | Clinical Psychologist | Hutchinson and Associates LLC | 222 W Gregory Blvd, Suite 100, Kansas City, MO 64114-1127 |
Marilyn A Hutchinson | Clinical Psychologist | Hutchinson and Associates LLC | 222 W Gregory Blvd, Suite 100, Kansas City, MO 64114-1127 |
Lauren Alise Richerson | Clinical Psychologist | Hutchinson and Associates LLC | 222 W Gregory Blvd, Suite 100, Kansas City, MO 64114-1127 |
Laverne A Berkel | Clinical Psychologist | Hutchinson and Associates LLC | 222 W Gregory Blvd, Suite 100, Kansas City, MO 64114-1127 |
Denise L Gulledge | Clinical Psychologist | Hutchinson and Associates LLC | 222 W Gregory Blvd, Suite 100, Kansas City, MO 64114-1127 |
Lester Blue Jr. | Clinical Psychologist | Hutchinson and Associates LLC | 222 W Gregory Blvd, Suite 100, Kansas City, MO 64114-1127 |
Find all physicians in zip 64114 |
City | KANSAS CITY |
Zip Code | 64114 |
Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
City + Specialty | KANSAS CITY + CERTIFIED REGISTERED NURSE ANESTHETIST |
Please comment or provide details below to improve the information on Kelly R Gordon.
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.