Bradley Dean Chrisjohn (NPI# 1013963727, PAC ID# 9739199340) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1013963727 |
PAC ID by PECOS | 9739199340 |
Professional Enrollment ID | I20060426000933 |
Full Name | Bradley Dean Chrisjohn |
Organization Legal Name | ENCOMPASS MEDICAL GROUP PA |
Address |
615 Sw 3rd St Encompass Lee's Summit Clinic Lees Summit MO 64063-2212 |
Phone Number | 8165243799 |
Gender | M |
Credential | DO |
Medical School | THE UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MEDICINE |
Graduation Year | 2003 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 0143116053 |
Number of Group Practice Members | 80 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
260216 | SAINT LUKE'S EAST HOSPITAL |
Address | Phone | Organization |
---|---|---|
373 W 101 Terr, Kansas City, MO 64114-4408 | ENCOMPASS MEDICAL GROUP PA | |
615 Sw 3rd St, Encompass Lee's Summit Clinic, Lees Summit, MO 64063-2212 | 8165243799 | ENCOMPASS MEDICAL GROUP PA |
Organization Legal Name | ENCOMPASS MEDICAL GROUP PA |
Physicians | 83 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christopher F Zielinski | Family Medicine | Encompass Medical Group Pa | 1741 Ne Douglas St, Suite 200, Lees Summit, MO 64086-4704 |
Rajya L Malay | Cardiovascular Disease (cardiology) | Encompass Medical Group Pa | 101 Nw Englewood Rd, Gladstone, MO 64118-4063 |
Christina Lee Jones | Family Medicine | Encompass Medical Group Pa | 4811 S Arrowhead Dr, Independence, MO 64055-6981 |
Bernard O Judy | Internal Medicine | Encompass Medical Group Pa | 373 W 101 Terr, Kansas City, MO 64114-4408 |
Michael Joseph Liston | Cardiovascular Disease (cardiology) | Encompass Medical Group Pa | 7201 E 147th St, Grandview, MO 64030-4204 |
Rachel H Sosland | Cardiovascular Disease (cardiology) | Encompass Medical Group Pa | 8550 Marshall Dr, Lenexa, KS 66214-1505 |
Shadrach Smith | Internal Medicine | Encompass Medical Group Pa | 2340 E Meyer Blvd, Suite 642, Kansas City, MO 64132-1110 |
Cynthia J Glass | Internal Medicine | Encompass Medical Group Pa | 373 W 101 Terr, Kansas City, MO 64114-4408 |
Sarah L Sherard | Diagnostic Radiology | Encompass Medical Group Pa | 373 W 101 Terr, Kansas City, MO 64114-4408 |
John J Mahon | Family Medicine | Encompass Medical Group Pa | 8550 Marshall Dr, Lenexa, KS 66214-1505 |
Street Address |
615 SW 3RD ST ENCOMPASS LEE'S SUMMIT CLINIC |
City | LEES SUMMIT |
State | MO |
Zip | 64063-2212 |
Name | Specialty | Organization | Address |
---|---|---|---|
Gregg R Klosener | Family Medicine | Encompass Medical Group Pa | 615 Sw 3rd St, Encompass Lee's Summit Clinic, Lees Summit, MO 64063-2212 |
Herbert E Dempsey | Family Medicine | Encompass Medical Group Pa | 615 Sw 3rd St, Encompass Lee's Summit Clinic, Lees Summit, MO 64063-2212 |
Kevin R Olson | Family Medicine | Encompass Medical Group Pa | 615 Sw 3rd St, Encompass Lee's Summit Clinic, Lees Summit, MO 64063-2212 |
John E Shockley | Family Medicine | Encompass Medical Group Pa | 615 Sw 3rd St, Encompass Lee's Summit Clinic, Lees Summit, MO 64063-2212 |
Paul M Joubert | Internal Medicine | Encompass Medical Group Pa | 615 Sw 3rd St, Encompass Lee's Summit Clinic, Lees Summit, MO 64063-2212 |
Dawn L Childs | Nurse Practitioner | Encompass Medical Group Pa | 615 Sw 3rd St, Encompass Lee's Summit Clinic, Lees Summit, MO 64063-2212 |
Samantha Tl Dufva | Clinical Social Worker | 615 Sw 3rd St, Samantha Dufva Emg, Lees Summit, MO 64063-2212 |
Name | Specialty | Organization | Address |
---|---|---|---|
Wilmer E Morales-hernandez | Emergency Medicine | Blue Parkway Emergency Physicians LLC | 2100 Se Blue Pkwy, Lee's Summit, MO 64063-1007 |
Leopoldine E Blaise | Nurse Practitioner | Joy E Cuezze Md LLC | 2160 Se Blue Pkwy, Addington Place of Lees Summit, Lees Summit, MO 64063-1007 |
Michael S Filla | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
Charles I Carino | Emergency Medicine | Blue Parkway Emergency Physicians LLC | 2100 Se Blue Pkwy, Lee's Summit, MO 64063-1007 |
Megan L Sneed | Obstetrics/gynecology | Womens Center At Brookside LLC | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
Katherine T Cundiff | Anesthesiology | Anesthesia Associates of Kansas City PC | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
Jennifer N Gibson | Nurse Practitioner | Blue Parkway Emergency Physicians LLC | 2100 Se Blue Pkwy, Lee's Summit, MO 64063-1007 |
Nicole R Cloutier | Emergency Medicine | Blue Parkway Emergency Physicians LLC | 2100 Se Blue Pkwy, Lee's Summit, MO 64063-1007 |
Elizabeth A Bertschy | Nurse Practitioner | Kansas City Gastroenterology and Hepatology Physicians Group LLC | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
Michael J Connor | Gastroenterology | Kansas City Gastroenterology and Hepatology Physicians Group LLC | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
Find all physicians in zip 64063 |
City | LEES SUMMIT |
Zip Code | 64063 |
Specialty | FAMILY MEDICINE |
City + Specialty | LEES SUMMIT + FAMILY MEDICINE |
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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.