Colin Scott Phillips (NPI# 1972064277, PAC ID# 0547596116) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1972064277 |
| PAC ID by PECOS | 0547596116 |
| Professional Enrollment ID | I20190720000058 |
| Full Name | Colin Scott Phillips |
| 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 |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4284916099 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 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 |
| Organization Legal Name | NORTHLAND ORTHOPEDICS AND SPORTS MEDICINE LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vivek Agrawal | Orthopedic Surgery | Northland Orthopedics and Sports Medicine LLC | 2790 Clay Edwards Dr, Suite 1230, North Kansas City, MO 64116-3253 |
| 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 |
| 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 | PHYSICIAN ASSISTANT |
| City + Specialty | NORTH KANSAS CITY + PHYSICIAN ASSISTANT |
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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.