Jennifer Sue Proctor (NPI# 1437212594, PAC ID# 0840267332) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1437212594 |
| PAC ID by PECOS | 0840267332 |
| Professional Enrollment ID | I20070605000476 |
| Full Name | Jennifer Sue Proctor |
| Organization Legal Name | KANSAS UNIVERSITY PHYSICIANS INC |
| Address |
3901 Rainbow Blvd Kansas City KS 66160-0001 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8921911587 |
| Number of Group Practice Members | 1028 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170040 | UNIVERSITY OF KANSAS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3901 Rainbow Blvd, Kansas City, KS 66160-0001 | KANSAS UNIVERSITY PHYSICIANS INC | |
| 3901 Rainbow Blvd, Suite 5300, Kansas City, KS 66160-0001 | 9135886210 | KANSAS UNIVERSITY PHYSICIANS INC |
| 4000 Cambridge St, Kansas City, KS 66160-0001 | 9135881227 | KANSAS UNIVERSITY PHYSICIANS INC |
| 7405 Renner Rd, Shawnee, KS 66217-9414 | KANSAS UNIVERSITY PHYSICIANS INC |
| Organization Legal Name | KANSAS UNIVERSITY PHYSICIANS INC |
| Physicians | 1055 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nadia Ghallab | Hospitalist | Kansas University Physicians Inc | 4000 Cambridge St, Internal Medicine Cambridge, Kansas City, KS 66160-0001 |
| Lucas D Thompson | Internal Medicine | Kansas University Physicians Inc | 2591 Arrowhead Dr, Radiology, Kansas City, MO 64129 |
| Micholee B Polsak | Internal Medicine | Kansas University Physicians Inc | 3901 Rainbow Blvd, Kansas City, KS 66160-0001 |
| Mark T Cunningham | Pathology | Kansas University Physicians Inc | 3599 Rainbow Blvd, Kansas City, KS 66103-2078 |
| Dana J Hawkinson | Infectious Disease | Kansas University Physicians Inc | 1000 E 101st Ter, Internal Medicine, Kansas City, MO 64131-3366 |
| Elizabeth J Friedman | Pathology | Kansas University Physicians Inc | 10720 Nall Ave, Ku Hospital Indian Creek, Leawood, KS 66211-1206 |
| Edward B Toby | Orthopedic Surgery | Kansas University Physicians Inc | 1 Arrowhead Dr, Kansas City, MO 64129-1651 |
| Faith M Butler | Family Medicine | Kansas University Physicians Inc | 3901 Rainbow Blvd, Kansas City, KS 66160-7415 |
| Judith K Nandwa | Nurse Practitioner | Kansas University Physicians Inc | 3901 Rainbow Blvd, Kansas City, KS 66160-0001 |
| Kelli K Williams | Qualified Speech Language Pathologist | Kansas University Physicians Inc | 3901 Rainbow Blvd, Kansas City, KS 66160-0001 |
| Street Address |
3901 RAINBOW BLVD |
| City | KANSAS CITY |
| State | KS |
| Zip | 66160-0001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Micholee B Polsak | Internal Medicine | Kansas University Physicians Inc | 3901 Rainbow Blvd, Kansas City, KS 66160-0001 |
| Faith M Butler | Family Medicine | Kansas University Physicians Inc | 3901 Rainbow Blvd, Kansas City, KS 66160-7415 |
| Judith K Nandwa | Nurse Practitioner | Kansas University Physicians Inc | 3901 Rainbow Blvd, Kansas City, KS 66160-0001 |
| Kelli K Williams | Qualified Speech Language Pathologist | Kansas University Physicians Inc | 3901 Rainbow Blvd, Kansas City, KS 66160-0001 |
| Taylor N Ayers | Certified Registered Nurse Anesthetist (crna) | Kansas University Physicians Inc | 3901 Rainbow Blvd, Kansas City, KS 66160-7415 |
| Kelsie M Carpenter | Physician Assistant | Kansas University Physicians Inc | 3901 Rainbow Blvd, Kansas City, KS 66160-7330 |
| John A Taylor Iii | Urology | Kansas University Physicians Inc | 3901 Rainbow Blvd, Kansas City, KS 66160-0001 |
| Joan Mt Collison | Psychiatry | Kansas University Physicians Inc | 3901 Rainbow Blvd, Kansas City, KS 66160-0001 |
| Satish Ponnuru | Plastic and Reconstructive Surgery | Kansas University Physicians Inc | 3901 Rainbow Blvd, Kansas City, KS 66160-0001 |
| Madhuri G Reddy | Obstetrics/gynecology | Kansas University Physicians Inc | 3901 Rainbow Blvd, Kansas City, KS 66160-0001 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nadia Ghallab | Hospitalist | Kansas University Physicians Inc | 4000 Cambridge St, Internal Medicine Cambridge, Kansas City, KS 66160-0001 |
| Michelle R Altenhofen | Certified Registered Nurse Anesthetist (crna) | Kansas University Physicians Inc | 4000 Cambridge St, Anesthesiology Cambridge, Kansas City, KS 66160-0001 |
| Monica Frances Kurylo | Psychologist, Clinical | Kansas University Physicians Inc | 3901 Rainbow Blvd, Kansas City, KS 66160-0001 |
| Ghaith Noaiseh | Rheumatology | Kansas University Physicians Inc | 4000 Cambridge St, Internal Medicine Cambridge, Kansas City, KS 66160-0001 |
| Natalia K Roldan | Hospitalist | Kansas University Physicians Inc | 4000 Cambridge St, Internal Medicine Cambridge, Kansas City, KS 66160-0001 |
| Stephanie M Bruns | Hospitalist | Kansas University Physicians Inc | 4000 Cambridge St, Internal Medicine Cambridge, Kansas City, KS 66160-0001 |
| Kristin N Fee | Hospitalist | Kansas University Physicians Inc | 4000 Cambridge St, Neurology Cambridge, Kansas City, KS 66160-0001 |
| Steven L Glorsky | General Surgery | Kansas University Physicians Inc | 3901 Rainbow Blvd, Kansas City, KS 66160-0001 |
| Archana Pareek | Hospitalist | Kansas University Physicians Inc | 3901 Rainbow Blvd, Kansas City, KS 66160-0001 |
| Wendi K Born | Psychologist, Clinical | Kansas University Physicians Inc | 3901 Rainbow Blvd, Kansas City, KS 66160-0001 |
| Find all physicians in zip 66160 | |||
| City | KANSAS CITY |
| Zip Code | 66160 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | KANSAS CITY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jennifer Sue Proctor.
| 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.