TIMOTHY JASON MCCORD (NPI# 1003012592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003012592 |
| Entity Type | Individual |
| Full Name | TIMOTHY JASON MCCORD |
| Credential | D.O. |
| Practice Address |
3801 Blue Pkwy Kansas City MO 64130-2807 |
| Practice Telephone | 8169223166 |
| Mailing Telephone | 8169223166 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2012-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
2012025297 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306827795 | Timothy I Mccord | Podiatrist | 3401 Rucker Ave, Everett, WA 98201-4281 | 2005-11-11 |
| 1265927388 | Timothy Jarrod Mccord | Assistant, Podiatric | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2018-06-30 |
| Street Address |
3801 BLUE PKWY |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64130-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033116058 | Otis S Latimer Sr. | Internal Medicine | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2005-07-05 |
| 1407453178 | Kelly R. Phillips | Social Worker | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-10-06 |
| 1730786682 | Donnica Miller | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-10-05 |
| 1578170692 | Mindy Lynn Thomas | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-09-24 |
| 1699380147 | James Jamaal Mourning | Social Worker | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-09-11 |
| 1457960296 | Renee Loenen | Registered Nurse | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-07-28 |
| 1669016424 | Lindsey Ackerson | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2019-11-04 |
| 1861044737 | Senait E Gebreab | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2019-07-11 |
| 1720640782 | Christopher S Jozwick | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2019-06-30 |
| 1174081715 | Tara Johnson | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2019-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154979532 | Jaiesha Releford | Home Health | 2403 E 49th St, Kansas City, MO 64130 | 2019-08-29 |
| 1932662335 | Roche' Burrell | Licensed Practical Nurse | 5221 Prospect Ave, Kansas City, MO 64130 | 2019-04-11 |
| 1154889947 | Laura Mizell | Social Worker | 3801 Blue Pwky, Kansas City, MO 64130 | 2019-03-11 |
| 1548789597 | Gifted Hands- Talented Minds | Clinic/Center | 3211 E. 60th Street, Kansas City, MO 64130 | 2017-09-11 |
| 1477083129 | Laura Kay Hyland | Registered Nurse | 5931 Swope Parkway, Kansas City, MO 64130 | 2017-06-15 |
| 1518407493 | Dialysis Clinic Inc | Clinic/Center | 2715 Swope Pkwy, Kansas City, MO 64130 | 2017-02-27 |
| 1790079291 | Zaron F. Kanion/myers Dental Clinic Dds, PC | Dentist | 5240 Prospect, Kansas City, MO 64130 | 2011-06-02 |
| 1235436593 | Omonosa Transportation and Social Services LLC | Meals | 4311 Prospect Ave, Kansas City, MO 64130 | 2011-02-23 |
| 1871826461 | All Families Health Center, LLC | Family Medicine | 4301 Cleveland Ave, Kansas City, MO 64130 | 2009-09-14 |
| 1922210442 | Trena Mae Leiter | Dentist | 3801 Blue Parkway, Kansas City, MO 64130 | 2007-05-04 |
| Find all providers in zip 64130 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194645 | Lotus Medical Associates LLC | Psychiatry & Neurology | 5100 Oak St Apt 433, Kansas City, MO 64112-2969 | 2019-09-30 |
| 1871639799 | Kansas University Physicians Inc | Psychiatry & Neurology | 1088 Delp Pavilion, Mail Stop 4015 3901 Rainbow Blvd, Kansas City, KS 66160 | 2007-01-29 |
| 1679622278 | Steven Sehr | Psychiatry & Neurology | 1021 W 69th St, Kansas City, MO 64113-1907 | 2007-01-10 |
| 1336222306 | Dawn Michelle Porter | Psychiatry & Neurology | 1730 Prospect Ave, Kansas City, MO 64127-2544 | 2006-10-23 |
| 1629510417 | Wexler Family Psychiatry | Psychiatry & Neurology | 4203 Booth St, Kansas City, KS 66103-3116 | 2016-11-09 |
| 1922441450 | Trenton Michael Myers | Psychiatry & Neurology | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2013-04-15 |
| 1912264292 | Bridget M. Clark | Psychiatry & Neurology | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2012-04-11 |
| 1104197136 | Ram Chettiar | Psychiatry & Neurology | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2012-01-23 |
| 1679879001 | Carla Louise Wakefield | Psychiatry & Neurology | 1301 N 47th St, Kansas City, KS 66102-1705 | 2011-02-02 |
| 1912141359 | Brian Terry Cuthbertson | Psychiatry & Neurology | 8800 Blue Ridge Blvd Ste 100, Kansas City, MO 64138-4061 | 2009-04-29 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64130 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.