Vivek Agrawal (NPI# 1275549156, PAC ID# 9931004801) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1275549156 |
| PAC ID by PECOS | 9931004801 |
| Professional Enrollment ID | I20190220001073 |
| Full Name | Vivek Agrawal |
| Organization Legal Name | NORTHLAND ORTHOPEDICS AND SPORTS MEDICINE LLC |
| Address |
2790 Clay Edwards Dr Suite 1230 North Kansas City MO 64116-3253 |
| Phone Number | 8162149300 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 4284916099 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260096 | NORTH KANSAS CITY HOSPITAL |
| 260062 | SAINT LUKES NORTH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5844 Nw Barry Rd, Suite 320, Kansas City, MO 64154-1421 | 8162149300 | NORTHLAND ORTHOPEDICS AND SPORTS MEDICINE LLC |
| 2790 Clay Edwards Dr, Suite 1230, North Kansas City, MO 64116-3253 | 8162149300 | NORTHLAND ORTHOPEDICS AND SPORTS MEDICINE LLC |
| 6264 Lewis Dr, Parkville, MO 64152-3603 | 8165878001 | SELECT PHYSICAL THERAPY HOLDINGS INC |
| 6264 Lewis Dr, Suite 100, Parkville, MO 64152-3603 | 8165878001 | SELECT PHYSICAL THERAPY HOLDINGS INC |
| Organization Legal Name | NORTHLAND ORTHOPEDICS AND SPORTS MEDICINE LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachael D Taylor | Nurse Practitioner | Northland Orthopedics and Sports Medicine LLC | 2790 Clay Edwards Dr, Suite 1230, North Kansas City, MO 64116-3253 |
| Lacey R Nelson | Physician Assistant | Northland Orthopedics and Sports Medicine LLC | 2790 Clay Edwards Dr, Suite 1230, North Kansas City, MO 64116-3253 |
| Steven B Smith | Orthopedic Surgery | Northland Orthopedics and Sports Medicine LLC | 2790 Clay Edwards Dr, Suite 1230, North Kansas City, MO 64116-3253 |
| Nathanial L Horton | Physician Assistant | Northland Orthopedics and Sports Medicine LLC | 2790 Clay Edwards Dr, Suite 1230, North Kansas City, MO 64116-3253 |
| Colin Scott Phillips | Physician Assistant | Northland Orthopedics and Sports Medicine LLC | 2790 Clay Edwards Dr, Suite 1230, North Kansas City, MO 64116-3253 |
| Street Address |
2790 CLAY EDWARDS DR SUITE 1230 |
| City | NORTH KANSAS CITY |
| State | MO |
| Zip | 64116-3253 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacklyn C Griffin | Nurse Practitioner | Meritas Health Corporation | 2790 Clay Edwards Dr, 530 Heartland Womens Health Care, North Kansas City, MO 64116-3266 |
| Michael N Fine | Podiatry | 2790 Clay Edwards Dr, Suite 570, North Kansas City, MO 64116-3266 | |
| Jeffrey W Thornton | Neurology | Meritas Health Corporation | 2790 Clay Edwards Dr, North Kansas City, MO 64116-3253 |
| Tessa Weigel | Nurse Practitioner | Nephrology Associates. M.d., P.a. | 2790 Clay Edwards Dr, Suite 410, N Kansas City, MO 64116-3274 |
| Anne Elizabeth Spade | Nurse Practitioner | Nephrology Associates. M.d., P.a. | 2790 Clay Edwards Dr, Suite 410, N Kansas City, MO 64116-3274 |
| Jay G Robinson | Neurology | Meritas Health Corporation | 2790 Clay Edwards Dr, 1235 Meritas Health Neurology, North Kansas City, MO 64116-3253 |
| Deanna D Campbell | Nurse Practitioner | Nephrology Associates. M.d., P.a. | 2790 Clay Edwards Dr, Suite 410, N Kansas City, MO 64116-3274 |
| Christina L Cooper | Nurse Practitioner | Kansas University Physicians Inc | 2790 Clay Edwards Dr, Suite 405, North Kansas City, MO 64116-3274 |
| Anastasia A Louen | Nurse Practitioner | Kansas University Physicians Inc | 2790 Clay Edwards Dr, Suite 405, North Kansas City, MO 64116-3274 |
| Bridget A Crowley | Obstetrics/gynecology | Meritas Health Corporation | 2790 Clay Edwards Dr, 530 Heartland Womens Health Care, North Kansas City, MO 64116-3266 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana Raymond Towle | Hand Surgery | 4444 N Belleview Ave, Suite 204, Kansas City, MO 64116-1507 | |
| Julian Romell Giles | Chiropractic | 4444 N Belleview Ave, Suite 104, Kansas City, MO 64116-1507 | |
| Amanda Lynne Munden | Nurse Practitioner | Ivxpress Inc | 1201 Nw Briarcliff Pkwy, 125 Briarcliff, Kansas City, MO 64116-1774 |
| Amy Callaway Carpenter | Nurse Practitioner | Ivxpress Inc | 1201 Nw Briarcliff Pkwy, 125 Briarcliff, Kansas City, MO 64116-1774 |
| Breanna Muniz | Nurse Practitioner | Ivxpress Inc | 1201 Nw Briarcliff Pkwy, 125 Briarcliff, Kansas City, MO 64116-1774 |
| Lori J Schwartz | Nurse Practitioner | Ivxpress Inc | 1201 Nw Briarcliff Pkwy, 125 Briarcliff, Kansas City, MO 64116-1774 |
| Patrick Gayle Jensen | Nurse Practitioner | Ivxpress Inc | 1201 Nw Briarcliff Pkwy, 125 Briarcliff, Kansas City, MO 64116-1774 |
| Rachel Beggs | Nurse Practitioner | Ivxpress Inc | 1201 Nw Briarcliff Pkwy, 125 Briarcliff, Kansas City, MO 64116-1774 |
| Kaitlyn R Demaree | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Missouri Inc | 4150 N Mulberrry Dr, Kansas City, MO 64116-1779 |
| Judith A Bickel | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Missouri Inc | 4150 N Mulberrry Dr, Kansas City, MO 64116-1779 |
| Find all physicians in zip 64116 | |||
| City | NORTH KANSAS CITY |
| Zip Code | 64116 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | NORTH KANSAS CITY + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Vivek Agrawal.
| 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.