Kerry Michael Daniels (NPI# 1881850659, PAC ID# 4688731110) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1881850659 |
| PAC ID by PECOS | 4688731110 |
| Professional Enrollment ID | I20140908000148 |
| Full Name | Kerry Michael Daniels |
| Organization Legal Name | KANSAS MEDICAL CLINIC PA |
| Address |
801 N Mur Len Rd Suite 112 Olathe KS 66062-1794 |
| Phone Number | 9137388033 |
| Gender | F |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4981592334 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 801 N Mur Len Rd, Suite 112, Olathe, KS 66062-1794 | 9137388033 | KANSAS MEDICAL CLINIC PA |
| 6333 Long Ave, Suite 360, Shawnee, KS 66216-2544 | 9136316330 | KANSAS MEDICAL CLINIC PA |
| 2200 Sw 6th St, Topeka, KS 66606-1707 | 7853548518 | KANSAS MEDICAL CLINIC PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | KANSAS MEDICAL CLINIC PA |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jayda Michelle Rupp | Nurse Practitioner | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Carla K Skytta | Plastic and Reconstructive Surgery | Kansas Medical Clinic Pa | 6001 Sw6th Ave, Topeka, KS 66615-1011 |
| Majdy A Albahhar | Dermatology | Kansas Medical Clinic Pa | 4201 Anderson Ave, B2, Manhattan, KS 66503-7603 |
| Alexandra Nicole Heeren | Nurse Practitioner | Kansas Medical Clinic Pa | 2921 Swwanamaker Dr, Topeka, KS 66614-5328 |
| Cecil J Fackrell | Physician Assistant | Kansas Medical Clinic Pa | 6333 Long Ave, Suite 360, Shawnee, KS 66216-2544 |
| Lee R Bittenbender | Dermatology | Kansas Medical Clinic Pa | 3511 Clinton Pl C, Lawrence, KS 66047-2213 |
| James V Allen | Dermatology | Kansas Medical Clinic Pa | 11301 Nall Ave, Suite 205, Leawood, KS 66211-1672 |
| Shekhar K Challa | Gastroenterology | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Walter A Dean | Physician Assistant | Kansas Medical Clinic Pa | 3511 Clinton Pl C, Lawrence, KS 66047-2213 |
| Shannon E Mawyin | Certified Registered Nurse Anesthetist (crna) | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Street Address |
801 N MUR LEN RD SUITE 112 |
| City | OLATHE |
| State | KS |
| Zip | 66062-1794 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Young J Cho | Family Medicine | Overland Park Surgical Specialties LLC | 801 N Mur Len Rd, Suite 211, Olathe, KS 66062-1794 |
| Larry M Lux | Physician Assistant | Overland Park Surgical Specialties LLC | 801 N Mur Len Rd, Suite 211, Olathe, KS 66062-1794 |
| Amy J Kapple | Registered Dietitian Or Nutrition Professional | Overland Park Surgical Specialties LLC | 801 N Mur Len Rd, Suite 211, Olathe, KS 66062-1794 |
| Kerry D Ensminger | Physician Assistant | Overland Park Surgical Specialties LLC | 801 N Mur Len Rd, Suite 211, Olathe, KS 66062-1794 |
| Michael John Ferguson | Family Medicine | Overland Park Surgical Specialties LLC | 801 N Mur Len Rd, Suite 211, Olathe, KS 66062-1794 |
| Monica L Fisher | Physician Assistant | Overland Park Surgical Specialties LLC | 801 N Mur Len Rd, Suite 211, Olathe, KS 66062-1794 |
| Suzan M Lewis | Family Medicine | Overland Park Surgical Specialties LLC | 801 N Mur Len Rd, Suite 211, Olathe, KS 66062-1794 |
| Angela K Lightle | Clinical Social Worker | 801 N Mur Len Rd, Suite 101, Olathe, KS 66062-1794 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna M Dietz Henk | Clinical Social Worker | 11695 S Blackbob Rd, Olathe, KS 66062-1058 | |
| Jere Lee Mills | Chiropractic | 13795 S Mur-len Rd, Suite 203, Olathe, KS 66062-1096 | |
| Tracy S Alagna | Nurse Practitioner | Mid America Senior Management LLC | 16600 W 126th St, Villa St Francis, Olathe, KS 66062-1184 |
| Mary Sue Hardage | Clinical Social Worker | 511 N Mur Len Rd, Olathe, KS 66062-1242 | |
| Jeremy S Dulin | Chiropractic | 13095 S Mur Len Rd, Suite 170, Olathe, KS 66062-1250 | |
| Kim P Miley | Chiropractic | 13095 S Mur Len Rd, Suite 170, Olathe, KS 66062-1250 | |
| Troy I Rockers | Chiropractic | 501 N Mur Len Rd A, Olathe, KS 66062-1258 | |
| Brent L Halderman | Psychologist, Clinical | 513 N Mur Len Rd, Olathe, KS 66062-1318 | |
| Carol Sabath | Nurse Practitioner | Take Care Health Kansas Pa | 13450 S Blackbob Rd, Olathe, KS 66062-1503 |
| Callie Ballenger | Nurse Practitioner | Take Care Health Kansas Pa | 13450 S Blackbob Rd, Olathe, KS 66062-1503 |
| Find all physicians in zip 66062 | |||
| City | OLATHE |
| Zip Code | 66062 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | OLATHE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kerry Michael Daniels.
| 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.