Johnson Underwood Iv (NPI# 1861429979, PAC ID# 5496844995) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1861429979 |
| PAC ID by PECOS | 5496844995 |
| Professional Enrollment ID | I20100814000065 |
| Full Name | Johnson Underwood Iv |
| Organization Legal Name | NORTHLAND RADIOLOGY, INC. |
| Address |
2800 Clay Edwards Dr Northland Radiology N Kansas City MO 64116-3220 |
| Phone Number | 9136424900 |
| Gender | M |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4284689043 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260096 | NORTH KANSAS CITY HOSPITAL |
| 170040 | UNIVERSITY OF KANSAS HOSPITAL |
| 261321 | HEDRICK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5501 Nw 62nd Terrace, 200 Tremont Medical Imaging, Kansas City, MO 64151-2408 | 8166918000 | NORTHLAND RADIOLOGY, INC. |
| 2800 Clay Edwards Dr, Northland Radiology, N Kansas City, MO 64116-3220 | 9136424900 | NORTHLAND RADIOLOGY, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% |
| Organization Legal Name | NORTHLAND RADIOLOGY, INC. |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julia J Neperud | Diagnostic Radiology | Northland Radiology, Inc. | 2800 Clay Edwards Dr, Northland Radiology, N Kansas City, MO 64116-3220 |
| Marci A Brecheisen | Diagnostic Radiology | Northland Radiology, Inc. | 2800 Clay Edwards Dr, Northland Radiology, N Kansas City, MO 64116-3220 |
| Timothy Owen Waltner | Diagnostic Radiology | Northland Radiology, Inc. | 2800 Clay Edwards Dr, Northland Radiology, N Kansas City, MO 64116-3220 |
| Benjamin E Northrup | Diagnostic Radiology | Northland Radiology, Inc. | 2800 Clay Edwards Dr, Northland Radiology, N Kansas City, MO 64116-3220 |
| Michael J Krahn | Diagnostic Radiology | Northland Radiology, Inc. | 2800 Clay Edwards Dr, Northland Radiology, N Kansas City, MO 64116-3220 |
| Zachary K Shafer | Diagnostic Radiology | Northland Radiology, Inc. | 2800 Clay Edwards Dr, Northland Radiology, N Kansas City, MO 64116-3220 |
| David A Feiock | Diagnostic Radiology | Northland Radiology, Inc. | 2800 Clay Edwards Dr, Northland Radiology, N Kansas City, MO 64116-3220 |
| Patrick W Okeefe | Diagnostic Radiology | Northland Radiology, Inc. | 2800 Clay Edwards Dr, Northland Radiology, N Kansas City, MO 64116-3220 |
| Christopher C Formen | Diagnostic Radiology | Northland Radiology, Inc. | 2800 Clay Edwards Dr, Northland Radiology, N Kansas City, MO 64116-3220 |
| Roger R Ivey | Diagnostic Radiology | Northland Radiology, Inc. | 2800 Clay Edwards Dr, Northland Radiology, N Kansas City, MO 64116-3220 |
| Street Address |
2800 CLAY EDWARDS DR NORTHLAND RADIOLOGY |
| City | N KANSAS CITY |
| State | MO |
| Zip | 64116-3220 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas S Ham | Emergency Medicine | Midwest Emergency Medical Services PC | 2800 Clay Edwards Dr, N Kansas City, MO 64116-3220 |
| Jason Scott L Holly | Pathology | Mawd Pathology Group Pa | 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 |
| Bruce W Durkee | Anesthesiology | Northland Anesthesiology Inc | 2800 Clay Edwards Dr, North Ks City Hosp, North Kansas City, MO 64116-3220 |
| Julia J Neperud | Diagnostic Radiology | Northland Radiology, Inc. | 2800 Clay Edwards Dr, Northland Radiology, N Kansas City, MO 64116-3220 |
| Marci A Brecheisen | Diagnostic Radiology | Northland Radiology, Inc. | 2800 Clay Edwards Dr, Northland Radiology, N Kansas City, MO 64116-3220 |
| Todd J Zellmer | Certified Registered Nurse Anesthetist (crna) | Northland Anesthesiology Inc | 2800 Clay Edwards Dr, North Ks City Hosp, North Kansas City, MO 64116-3220 |
| Robert S Strobach | Pathology | Mawd Pathology Group Pa | 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 |
| David E Ewing | Pathology | Mawd Pathology Group Pa | 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 |
| Stephanie R Dilley | Certified Registered Nurse Anesthetist (crna) | Northland Anesthesiology Inc | 2800 Clay Edwards Dr, North Ks City Hosp, North Kansas City, MO 64116-3220 |
| Lancer M Gates | Hospitalist | Gates Hospitalists LLC | 2800 Clay Edwards Dr, Nkc Hospital, North Kansas City, MO 64116-3220 |
| 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 | N KANSAS CITY |
| Zip Code | 64116 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | N KANSAS CITY + DIAGNOSTIC RADIOLOGY |
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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.