Jack J Hall (NPI# 1558337857, PAC ID# 6709861743) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1558337857 |
| PAC ID by PECOS | 6709861743 |
| Professional Enrollment ID | I20190614002592 |
| Full Name | Jack J Hall |
| Organization Legal Name | MIDWEST HEART AND VASCULAR SPECIALISTS LLC |
| Address |
19600 E 39th St S Centerpoint Medical Center Independence MO 64057-2301 |
| Phone Number | 8166987000 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 7618122417 |
| Number of Group Practice Members | 69 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260095 | CENTERPOINT MEDICAL CENTER |
| 260190 | LEE'S SUMMIT MEDICAL CENTER |
| 261332 | CARROLL COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1502 N Jefferson, Carroll County Memorial Hospital, Carrollton, MO 64633-1948 | 6605421695 | MIDWEST HEART AND VASCULAR SPECIALISTS LLC |
| 19600 E 39th St S, Centerpoint Medical Center, Independence, MO 64057-2301 | 8166987000 | MIDWEST HEART AND VASCULAR SPECIALISTS LLC |
| 2316 E Meyer Blvd, Research Medical Center, Kansas City, MO 64132-1136 | 9132533000 | MIDWEST HEART AND VASCULAR SPECIALISTS LLC |
| 2000 Se Blue Pkwy, Suite 250, Lees Summit, MO 64063-1029 | 9139060833 | MIDWEST HEART AND VASCULAR SPECIALISTS LLC |
| 2000 Se Blue Pkwy, Suite 220, Lees Summit, MO 64063-1043 | 8166072950 | MIDWEST HEART AND VASCULAR SPECIALISTS LLC |
| 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 | 8162825000 | MIDWEST HEART AND VASCULAR SPECIALISTS LLC |
| 5701 W 119th St, Overland Park, KS 66209-3721 | MIDWEST HEART AND VASCULAR SPECIALISTS LLC |
| Organization Legal Name | MIDWEST HEART AND VASCULAR SPECIALISTS LLC |
| Physicians | 72 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott M Koerber | Cardiac Electrophysiology | Midwest Heart and Vascular Specialists LLC | 2330 E Meyer Blvd, Suite 509, Kansas City, MO 64132-1143 |
| Dhanunjaya R Lakkireddy | Cardiac Electrophysiology | Midwest Heart and Vascular Specialists LLC | 2340 E Meyer 2, Suite 382, Kansas City, MO 64132-1129 |
| Prem K Samuel | Cardiac Surgery | Midwest Heart and Vascular Specialists LLC | 19550 E 39th St, Suite 105, Independence, MO 64057-1926 |
| Marco S Mazzella | Cardiovascular Disease (cardiology) | Midwest Heart and Vascular Specialists LLC | 17065 S Outer Rd, Belton Regional Medical Center, Belton, MO 64012-2165 |
| Justin Ross Van Meeteren | Thoracic Surgery | Midwest Heart and Vascular Specialists LLC | 2340 E Meyer 2, Suite 382, Kansas City, MO 64132-1129 |
| Casey Jean Cope | Nurse Practitioner | Midwest Heart and Vascular Specialists LLC | 2330 E Meyer Blvd, Suite 509, Kansas City, MO 64132-1143 |
| Ujjaval M Patel | Interventional Cardiology | Midwest Heart and Vascular Specialists LLC | 1000 Carondelet Dr, Kansas City, MO 64114-4673 |
| Thomas F Baldwin | Cardiovascular Disease (cardiology) | Midwest Heart and Vascular Specialists LLC | 12200 W 106th St, Suite 320, 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 |
| Cesar D Rios | Cardiovascular Disease (cardiology) | Midwest Heart and Vascular Specialists LLC | 5701 W 119th St, Overland Park, KS 66209-3721 |
| Street Address |
19600 E 39TH ST S CENTERPOINT MEDICAL CENTER |
| City | INDEPENDENCE |
| State | MO |
| Zip | 64057-2301 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Akram Sheikh | Internal Medicine | Van Hook Inpatient Services, LLC | 19600 E 39th St S, Independence, MO 64057-2301 |
| Kristopher S Lybarger | Obstetrics/gynecology | Midwest Oncology Associates LLC | 19600 E 39th St S, Centerpoint Medical Center, Independence, MO 64057-2301 |
| Mrinalini Panthagani | Hospitalist | Van Hook Inpatient Services, LLC | 19600 E 39th St S, Independence, MO 64057-2301 |
| Brian M Haas | Internal Medicine | Van Hook Inpatient Services, LLC | 19600 E 39th St S, Independence, MO 64057-2301 |
| Staci G Shay | Nurse Practitioner | Van Hook Inpatient Services, LLC | 19600 E 39th St S, Independence, MO 64057-2301 |
| Stephen Person | Family Medicine | Van Hook Inpatient Services, LLC | 19600 E 39th St S, Independence, MO 64057-2301 |
| Jordan Ryan Haskins | Family Medicine | Van Hook Inpatient Services, LLC | 19600 E 39th St S, Independence, MO 64057-2301 |
| David Rochelin | Internal Medicine | Van Hook Inpatient Services, LLC | 19600 E 39th St S, Independence, MO 64057-2301 |
| Bridget Bransteitter | Infectious Disease | Midwest Infectious Disease Specialists LLC | 19600 E 39th St S, Centerpint Medical Center, Independence, MO 64057-2301 |
| Jennifer D Aguilar | Nurse Practitioner | Van Hook Inpatient Services, LLC | 19600 E 39th St S, 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 | INTERNAL MEDICINE |
| City + Specialty | INDEPENDENCE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jack J Hall.
| 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.