Grady E Kaiser (NPI# 1932587763, PAC ID# 8729381173) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1932587763 |
| PAC ID by PECOS | 8729381173 |
| Professional Enrollment ID | I20171212000502 |
| Full Name | Grady E Kaiser |
| Organization Legal Name | GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION |
| Address |
130 E Lockling Community Medical Associates Brookfield MO 64628-2337 |
| Phone Number | 6602581050 |
| Gender | M |
| Medical School | WILLIAM CAREY UNIV COL OF OSTEOPATHIC MEDICINE, HATTIESBURG MS |
| Graduation Year | 2015 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 2860306750 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 261303 | COMMUNITY HOSPITAL ASSOCIATION |
| 261307 | PERSHING MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 130 E Lockling, Community Medical Associates, Brookfield, MO 64628-2337 | 6602581050 | GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION |
| Organization Legal Name | GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kendal L Geno | Family Medicine | General John J Pershing Memorial Hospital Association | 125 E Lockling St, Applegate Medical Group, Brookfield, MO 64628-2367 |
| Kelly C Schwager | Nurse Practitioner | General John J Pershing Memorial Hospital Association | 101 E Hayward, Meadville Medical Clinic, Meadville, MO 64659-9201 |
| Karen A Sylvara | General Practice | General John J Pershing Memorial Hospital Association | 130 E Lockling Ave, Pershing Memorial Hospital, Brookfield, MO 64628-2337 |
| Vivian M Hall | Nurse Practitioner | General John J Pershing Memorial Hospital Association | 130 E Lockling Ave, Pershing Memorial Hospital, Brookfield, MO 64628-2337 |
| James L Bowers | Family Medicine | General John J Pershing Memorial Hospital Association | 130 E Lockling Ave, Pershing Memorial Hospital, Brookfield, MO 64628-2337 |
| Rebecca F Krc | General Practice | General John J Pershing Memorial Hospital Association | 130 E Lockling Ave, Pershing Memorial Hospital, Brookfield, MO 64628-2337 |
| Amy L Creason | Nurse Practitioner | General John J Pershing Memorial Hospital Association | 130 E Lockling Ave, Pershing Memorial Hospital, Brookfield, MO 64628-2337 |
| Karla D Clubine | Nurse Practitioner | General John J Pershing Memorial Hospital Association | 130 E Lockling Ave, Pershing Memorial Hospital, Brookfield, MO 64628-2337 |
| Jerry L Wait | Family Medicine | General John J Pershing Memorial Hospital Association | 130 E Lockling Ave, Pershing Memorial Hospital, Brookfield, MO 64628-2337 |
| Aunya Marie Cameron | Internal Medicine | General John J Pershing Memorial Hospital Association | 130 E Lockling Ave, Pershing Memorial Hospital, Brookfield, MO 64628-2337 |
| Street Address |
130 E LOCKLING COMMUNITY MEDICAL ASSOCIATES |
| City | BROOKFIELD |
| State | MO |
| Zip | 64628-2337 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacie N Malloy | Physical Therapy | 122 N Main St, Brookfield Pt, Brookfield, MO 64628-1643 | |
| Terry L Thrasher | Family Medicine | 624 W Lockling St, Brookfield, MO 64628-2003 | |
| Brent E Watson | Chiropractic | 616 W Lockling St, Brookfield, MO 64628-2003 | |
| Michael Holtz | Nurse Practitioner | Advanced Medical House Call and Telemedicine LLC | 624 W Lockling St, Brookfield, MO 64628-2003 |
| Michael R Crist | Family Medicine | 814 Fairlane Dr, Brookfield, MO 64628-2318 | |
| Karen A Sylvara | General Practice | General John J Pershing Memorial Hospital Association | 130 E Lockling Ave, Pershing Memorial Hospital, Brookfield, MO 64628-2337 |
| Vivian M Hall | Nurse Practitioner | General John J Pershing Memorial Hospital Association | 130 E Lockling Ave, Pershing Memorial Hospital, Brookfield, MO 64628-2337 |
| James L Bowers | Family Medicine | General John J Pershing Memorial Hospital Association | 130 E Lockling Ave, Pershing Memorial Hospital, Brookfield, MO 64628-2337 |
| Rebecca F Krc | General Practice | General John J Pershing Memorial Hospital Association | 130 E Lockling Ave, Pershing Memorial Hospital, Brookfield, MO 64628-2337 |
| Amy L Creason | Nurse Practitioner | General John J Pershing Memorial Hospital Association | 130 E Lockling Ave, Pershing Memorial Hospital, Brookfield, MO 64628-2337 |
| Find all physicians in zip 64628 | |||
| City | BROOKFIELD |
| Zip Code | 64628 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | BROOKFIELD + GENERAL PRACTICE |
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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.