BRADLEY CARMICHAEL (NPI# 1730142902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730142902 |
| Entity Type | Individual |
| Full Name | BRADLEY CARMICHAEL |
| Credential | M.D. |
| Practice Address |
100 Ne Saint Lukes Blvd Lees Summit MO 64086-6000 |
| Mailing Address |
14275 Midway Rd Suite 400 Addison TX 75001-3614 |
| Practice Telephone | 8164127004 |
| Mailing Telephone | 2149328029 |
| Mailing Fax Number | 6102714245 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2014-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
32447 | KS | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
2007011168 | MO | Allopathic & Osteopathic Physicians |
| N | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
48622 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200537970B | 05 |
| Street Address |
100 NE SAINT LUKES BLVD |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64086-6000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875354 | Ashley Qualls | Nurse Practitioner | 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086-6000 | 2020-09-09 |
| 1275167595 | Joshua A Yates | Registered Nurse | 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086-6000 | 2020-02-25 |
| 1942830872 | Sarah Ann Payne | Nurse Practitioner | 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086-6000 | 2020-01-20 |
| 1194389627 | Jami D Shockey | Registered Nurse | 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086-6000 | 2019-04-30 |
| 1275197717 | Ryan Christopher Pugh | Registered Nurse | 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086-6000 | 2019-04-30 |
| 1376040832 | Amy Brown | Nurse Anesthetist, Certified Registered | 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086-6000 | 2018-04-11 |
| 1437661550 | Sam Michael Spangler | Registered Nurse | 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086-6000 | 2017-10-30 |
| 1306369194 | Sherry Lynn Frank | Nurse Practitioner | 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086-6000 | 2017-07-24 |
| 1639690696 | Nicole Reddick | Nurse Practitioner | 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086-6000 | 2017-06-29 |
| 1316472590 | Timothy Allen Palmer | Nurse Anesthetist, Certified Registered | 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086-6000 | 2017-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821057 | David L Harrison | Pharmacist | 6 Nw Sycamore St Ste A, Lees Summit, MO 64086 | 2019-10-08 |
| 1770069403 | Foster Family Pharmacy | Pharmacy | 6 Nw Sycamore St., Suite A, Lee's Summit, MO 64086 | 2018-07-16 |
| 1255716221 | Summit Eye Center, LLC | Ophthalmology | 1621 Nw Blue Parkway, Lees Summit, MO 64086 | 2015-07-20 |
| 1679954085 | Day By Day Staff Relief, LLC | Hospice Care, Community Based | 943 Ne Columbus Street, Lees Summit, MO 64086 | 2015-06-11 |
| 1831505544 | Johnathan Almeida | Emergency Medicine | 100 Ne St Lukes Blvd, Emergency Department, Lees Summit, MO 64086 | 2014-07-02 |
| 1215358429 | Alex Sharifian Dds Summit Modern Dentistry PC | Dentist | 940 Nw Blue Parkway, Suite A, Lee's Summit, MO 64086 | 2013-12-16 |
| 1477807303 | Lauren M Lee | Nurse Practitioner | 1425 Nw Blue Parkway, Lee's Summit, MO 64086 | 2012-10-30 |
| 1396016507 | Retha Rene Rudloff | General Practice | 1728 N.e. Misty Lane, Lee's Summit, MO 64086 | 2012-01-19 |
| 1629351200 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 691 Nw Blue Pkwy, Lees Summit, MO 64086 | 2011-09-21 |
| 1497054308 | Jennifer Nelson | Physical Therapist | 301 Ne Tudor, Lee's Summit, MO 64086 | 2011-03-17 |
| Find all providers in zip 64086 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750664918 | Randall William Jones | Pathology | 404 Nw Poplar St, Lees Summit, MO 64064-1415 | 2011-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430121 | Garland Michael Upchurch | Pathology | Washington University Som Department of Pathology, 660 S Euclid Avenue, Cb 8118, St. Louis, MO 63110-1010 | 2019-07-25 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1346732781 | Christopher Ryan Cunningham | Pathology | 1 Hospital Dr Dept Of, Columbia, MO 65212-1000 | 2018-06-01 |
| 1730679986 | Tao Zhang | Pathology | 1 Hospital Dr Bldg, Columbia, MO 65212-1000 | 2018-05-14 |
| 1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
| 1407302730 | Huifang Zhou | Pathology | 4901 Forest Park Avenue, St Louis, MO 63108-1402 | 2016-08-28 |
| 1609247543 | Muhammad Atif Atlaf Salyana | Pathology | 3635 Vista Ave Fl 4, Saint Louis University Hospital- Pathology Residency, Saint Louis, MO 63110-2539 | 2015-10-19 |
| 1194193326 | Mid-america Pathology Consultants, LLC | Pathology | 12898 Thornhill Ct, Saint Louis, MO 63131-1883 | 2015-09-03 |
| 1437539756 | Juan Kang | Pathology | 12939 Banyan Town Dr., St. Louis, MO 63146 | 2015-06-02 |
| 1891173159 | Dauod Arif | Pathology | 2301 Holmes Street, Department of Pathology, Truman Medical Center - Hospital Hill (hh), Kansas City, MO 64108 | 2015-05-07 |
| Find all providers with the same taxonomy | ||||
| City | LEES SUMMIT |
| Zip Code | 64086 |
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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.