Aaron Smith (NPI# 1104200609, PAC ID# 1557676038) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1104200609 |
| PAC ID by PECOS | 1557676038 |
| Professional Enrollment ID | I20150812008135 |
| Full Name | Aaron Smith |
| Organization Legal Name | SIGNATURE MEDICAL GROUP OF KC PA |
| Address |
5721 W 119th St Menorah Medical Center Overland Park KS 66209-3722 |
| Phone Number | 9134986000 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7618144056 |
| Number of Group Practice Members | 65 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170185 | SAINT LUKE'S SOUTH HOSPITAL |
| 170182 | MENORAH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10701 Nall Ave, Suite 200, Overland Park, KS 66211-1358 | 9133815225 | SIGNATURE MEDICAL GROUP OF KC PA |
| 12300 Metcalf Ave, Overland Park, KS 66213-1324 | SIGNATURE MEDICAL GROUP OF KC PA | |
| 5721 W 119th St, Menorah Medical Center, Overland Park, KS 66209-3722 | 9134986000 | SIGNATURE MEDICAL GROUP OF KC PA |
| Organization Legal Name | SIGNATURE MEDICAL GROUP OF KC PA |
| Physicians | 70 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Payne | Nurse Practitioner | Signature Medical Group of Kc Pa | 10701 Nall Ave, Suite 200, Overland Park, KS 66211-1358 |
| Abby J Pollock | Nurse Practitioner | Signature Medical Group of Kc Pa | 3151 Ne Carnegie Drive B, Lees Summit, MO 64064-3218 |
| Coreen M Bisel | Nurse Practitioner | Signature Medical Group of Kc Pa | 20920 W 151st St, Suite 100, Olathe, KS 66061-7243 |
| Radmila Samardzija | Podiatry | Signature Medical Group of Kc Pa | 8919 Parallel Pkwy, Suite 550, Kansas City, KS 66112-1545 |
| Michael J Khadavi | Physical Medicine and Rehabilitation | Signature Medical Group of Kc Pa | 1800 E Meyer Boulevard, Kansas City, MO 64132-1142 |
| Amy E Brose | Family Medicine | Signature Medical Group of Kc Pa | 9151 Ne 81st Terrace, Suite 105, Kansas City, MO 64158-1176 |
| Matthew T Kneidel | Orthopedic Surgery | Signature Medical Group of Kc Pa | 5721 W 119th St, Menorah Medical Center, Overland Park, KS 66209-3722 |
| Anna L Short | Nurse Practitioner | Signature Medical Group of Kc Pa | 10701 Nall Ave, Suite 200, Overland Park, KS 66211-1358 |
| Ward W Ohlhausen | Obstetrics/gynecology | Signature Medical Group of Kc Pa | 1800 E Meyer Boulevard, Kansas City, MO 64132-1142 |
| Kapil Dua | Podiatry | Signature Medical Group of Kc Pa | 8919 Parallel Pkwy, Suite 550, Kansas City, KS 66112-1545 |
| Street Address |
5721 W 119TH ST MENORAH MEDICAL CENTER |
| City | OVERLAND PARK |
| State | KS |
| Zip | 66209-3722 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sonya M Jurgens | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 5721 W 119th St, Menorah Medical Center, Overland Park, KS 66209-3722 |
| Sarah J Clutter | Anesthesiology | Anesthesia Associates of Kansas City PC | 5721 W 119th St, Menorah Medical Center, Overland Park, KS 66209-3722 |
| Jeffrey W Brennan | Anesthesiology | Anesthesia Associates of Kansas City PC | 5721 W 119th St, Menorah Medical Center, Overland Park, KS 66209-3722 |
| Matthew T Kneidel | Orthopedic Surgery | Signature Medical Group of Kc Pa | 5721 W 119th St, Menorah Medical Center, Overland Park, KS 66209-3722 |
| Renee L Mauer | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 5721 W 119th St, Menorah Medical Center, Overland Park, KS 66209-3722 |
| Douglas B Knox | Family Medicine | 5721 W 119th St, Menorah Medical Center, Overland Park, KS 66209-3722 | |
| Jarrett S Lefberg | Emergency Medicine | Nall Emergency Physicians LLC | 5721 W 119th St, Overland Park, KS 66209-3722 |
| Ann R Squire | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 5721 W 119th St, Menorah Medical Center, Overland Park, KS 66209-3722 |
| Bertram W Maidment Iii | Radiation Oncology | Tri Pa | 5721 W 119th St, Menorah Medical Center, Overland Park, KS 66209-3722 |
| Adam M Skinner | Emergency Medicine | Nall Emergency Physicians LLC | 5721 W 119th St, Overland Park, KS 66209-3722 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shane Bisson | Chiropractic | Catalyst Health Center, Pa | 12100 State Line Rd, Leawood, KS 66209-1201 |
| Marcus S Juracek | Chiropractic | Catalyst Health Center, Pa | 12100 State Line Rd, Leawood, KS 66209-1201 |
| David Adam Boender | Chiropractic | Catalyst Health Center, Pa | 12100 State Line Rd, Leawood, KS 66209-1201 |
| Kenneth A Bono | Optometry | 12116 State Line Rd, Leawood, KS 66209-1254 | |
| Mary P Marshall | Psychologist, Clinical | 2221 W 124th St, Leawood, KS 66209-1305 | |
| William J Nowack | Neurology | Remote Neuromonitoring Physicians PC | 12417 Howe Dr, Leawood, KS 66209-1451 |
| Nelopher Hathiary | Internal Medicine | 12720 State Line Rd, Leawood, KS 66209-1619 | |
| Deborah R Hellinger | Diagnostic Radiology | Brfhh Monroe LLC | 13213 Overbrook Rd, Leawood, KS 66209-1628 |
| Michael J Reilly | Emergency Medicine | Kansas City Community Hospital LLC | 13200 State Line Rd, Leawood, KS 66209-1701 |
| Anne Marie B Hall | Emergency Medicine | Kansas City Community Hospital LLC | 13200 State Line Rd, Leawood, KS 66209-1701 |
| Find all physicians in zip 66209 | |||
| City | OVERLAND PARK |
| Zip Code | 66209 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | OVERLAND PARK + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Aaron Smith.
| 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.