Timothy L Blackburn
MIDWEST HEART AND VASCULAR SPECIALISTS LLC


Address: 17067 S Outer Rd, Suite 200, Belton, MO 64012-2100
Phone: 8162764800

Timothy L Blackburn (NPI# 1558325605, PAC ID# 8325950884) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).

Physician Overview

Nation Provider ID (NPI) 1558325605
PAC ID by PECOS 8325950884
Professional Enrollment ID I20050907000503
Full Name Timothy L Blackburn
Organization Legal Name MIDWEST HEART AND VASCULAR SPECIALISTS LLC
Address 17067 S Outer Rd
Suite 200
Belton
MO 64012-2100
Phone Number 8162764800
Gender M
Credential MD
Medical School UNIVERSITY OF KANSAS SCHOOL OF MEDICINE
Graduation Year 1986
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Group Practice PAC ID 7618122417
Number of Group Practice Members 69
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
260175 GOLDEN VALLEY MEMORIAL HOSPITAL
260190 LEE'S SUMMIT MEDICAL CENTER
260214 BELTON REGIONAL MEDICAL CENTER
170182 MENORAH MEDICAL CENTER
260027 RESEARCH MEDICAL CENTER

Other Locations

Address Phone Organization
17067 S Outer Rd, Suite 200, Belton, MO 64012-2100 8162764800 MIDWEST HEART AND VASCULAR SPECIALISTS LLC

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
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name MIDWEST HEART AND VASCULAR SPECIALISTS LLC
Physicians 72

Physicians with the same organization

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

Office Location

Street Address 17067 S OUTER RD
SUITE 200
City BELTON
State MO
Zip 64012-2100

Physicians in the same location

Name Specialty Organization Address
Shannon E Kohake Neurology Research Neurology Associates, LLC 17067 S Outer Rd, Suite 200, Belton, MO 64012-2100
Brian P Mieczkowski Internal Medicine Kansas City Pulmonology Practice LLC 17067 S Outer Rd, Suite 200, Belton, MO 64012-2100
Michael D Chacey Pulmonary Disease Kansas City Pulmonology Practice LLC 17067 S Outer Rd, Suite 200, Belton, MO 64012-2100
Logan F Kratt Family Medicine Belton Family Practice Clinic LLC 17067 S Outer Rd, Suite 100, Belton, MO 64012-2100
Lyndsey N Augur Physician Assistant Signature Medical Group of Kc Pa 17067 S Outer Rd, Suite 301, Belton, MO 64012-2165
Lindsey M Brown Nurse Practitioner Signature Medical Group of Kc Pa 17067 S Outer Rd, Suite 301, Belton, MO 64012-2165
William Miles Beary Pulmonary Disease Kansas City Pulmonology Practice LLC 17067 S Outer Rd, Suite 200, Belton, MO 64012-2100
Kathryn S Kincaide Nurse Practitioner Kansas City Pulmonology Practice LLC 17067 S Outer Rd, Suite 200, Belton, MO 64012-2100
Douglas L Bradley Family Medicine Belton Family Practice Clinic LLC 17067 S Outer Rd, Suite 100, Belton, MO 64012-2100
Bridget M Stillwell Nurse Practitioner Belton Family Practice Clinic LLC 17067 S Outer Rd, Suite 100, Belton, MO 64012-2100
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Physicians in the same zip code

Name Specialty Organization Address
Breann K Smith Hospitalist Connectcare Hospitalists LLC 17065 S U S 71 Hwy, Belton Regional Medical Center, Belton, MO 64012
Melissa S Campbell Nurse Practitioner Connectcare Hospitalists LLC 17065 S U S 71 Hwy, Belton Regional Medical Center, Belton, MO 64012
John Paul Armilio Family Medicine Connectcare Hospitalists LLC 17065 S U S 71 Hwy, Belton Regional Medical Center, Belton, MO 64012
Nilofar D Rahman Hospitalist Connectcare Hospitalists LLC 17065 S U S 71 Hwy, Belton Regional Medical Center, Belton, MO 64012
Amy W Gemperli Ophthalmology Heart of America Eye Care, P.a. 424 E N Ave, Belton, MO 64012-2017
Amy E Ciccio Ophthalmology Heart of America Eye Care, P.a. 424 E N Ave, Belton, MO 64012-2017
Ginger E Cline Optometry Heart of America Eye Care, P.a. 424 E N Ave, Belton, MO 64012-2017
Alan E Bauman Ophthalmology State Line Eye Care Center, PC 424 E N Ave, Cass County Eye Care Ctr, Belton, MO 64012-2017
Rick D Thomas Clinical Psychologist 409 N Scott Ave, Belton, MO 64012-2035
Robert A Bondi Podiatry 115 Bradford Lane, Belton, MO 64012-2086
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Competitor

Search similar physicians

City BELTON
Zip Code 64012
Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
City + Specialty BELTON + CARDIOVASCULAR DISEASE (CARDIOLOGY)

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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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