SAINT LUKE'S PHYSICIAN GROUP I, LLC (NPI# 1518280395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518280395 |
| Entity Type | Organization |
| Organization Name | SAINT LUKE'S PHYSICIAN GROUP I, LLC |
| Other Organization Name | SLCC |
| Practice Address |
4330 Wornall Rd Suite 2000 Kansas City MO 64111-5939 |
| Mailing Address |
901 E 104th St Mailstop 400 Kansas City MO 64131-4517 |
| Practice Telephone | 8169311883 |
| Practice Fax Number | 8167563645 |
| Mailing Telephone | 8165028782 |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2017-04-12 |
| Authorized Official Name | MR. JOSEPH P STASI (CAO) |
| Authorized Official Telephone | 8165999587 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200675870A | 05 | |
| KS | 200675870B | 05 | |
| KS | RAILROAD MEDICARE | DQ3022 | 01 |
| MO | 1518280395 | 05 | |
| MO | RAILROAD MEDICARE | DQ3775 | 01 |
| Other Name | Type Code |
|---|---|
| SLCC | Doing Business As Name - Organization |
| Street Address |
4330 WORNALL RD SUITE 2000 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-5939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356336549 | Leigh A Nelson | Pharmacist | 4330 Wornall Rd, St. Luke's Multi-specialty Clinic, Medical Plaza Bldg., Kansas City, MO 64111-3217 | 2005-09-14 |
| 1447745708 | Laura Ashley Amos | Nurse Practitioner | 4330 Wornall Rd, Kansas City, MO 64111-3201 | 2018-06-28 |
| 1861987042 | Lyndsay Kidd | Registered Nurse | 4330 Wornall Rd, Ste 2000, Kansas City, MO 64111 | 2018-06-28 |
| 1851831176 | Saint Luke's Cardiovascular Consultants | Clinic/Center | 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-3201 | 2017-03-06 |
| 1821545880 | Barbara Sue Lee | Registered Nurse | 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-3201 | 2016-09-07 |
| 1316490667 | Julia E. Bridges | Nurse Practitioner | 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-3201 | 2016-08-03 |
| 1871945303 | Leandrea Williams | Nurse Practitioner | 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-3201 | 2016-07-08 |
| 1043660392 | Nicole E Hoover | Nurse Practitioner | 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-3201 | 2016-06-17 |
| 1689024861 | Katie Nicole Jaschke | Nurse Practitioner | 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-3201 | 2016-06-17 |
| 1043660764 | Lauren Rasmussen | Registered Nurse | 4330 Wornall Rd, Medical Plaza IIi Suite 2000, Kansas City, MO 64111-3201 | 2016-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083010458 | Mancina Cardiovascular Medicine | Internal Medicine | 1601 Washington Blvd, Kansas City, KS 66102-2841 | 2014-11-13 |
| 1528407822 | Justin Patrick Sheehy | Internal Medicine | 4401 Wornall Rd Fl 9, Kansas City, MO 64111-3220 | 2013-06-19 |
| 1952643520 | Meritas Health Corporation | Internal Medicine | 5501 Nw 62nd Ter Ste 201, Kansas City, MO 64151-2408 | 2013-03-21 |
| 1376839894 | Chetan P Huded | Internal Medicine | 5844 Nw Barry Rd Ste 230, Kansas City, MO 64154-1421 | 2011-06-22 |
| 1689835084 | Bangalore V Deepak | Internal Medicine | 6420 Prospect Ave Ste T101, Kansas City, MO 64132 | 2008-06-19 |
| 1144499096 | Dennis Robert Bresnahan Jr. | Internal Medicine | 2000 Baltimore Avenue, Suite 400, Kansas City, MO 64108-1943 | 2008-02-25 |
| 1932300217 | Joseph Goldstrich | Internal Medicine | 333 W 46th Ter, Apt 209, Kansas City, MO 64112-1545 | 2007-05-31 |
| 1356454912 | Thomas L Rosamond | Internal Medicine | 4000 Cambrodge Street Ste G600, Kansas City, KS 66160-8501 | 2006-08-17 |
| 1164434577 | Steven D Owens | Internal Medicine | 4000 Cambridge St # G600, Kansas City, KS 66160-8501 | 2006-08-13 |
| 1245241017 | Marina N Hannen | Internal Medicine | 4000 Cambridge St Ste 600, Kansas City, KS 66160-8500 | 2006-08-10 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
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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.