Robert Vincent Carrillo (NPI# 1508879305, PAC ID# 5799702510) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
| Nation Provider ID (NPI) | 1508879305 |
| PAC ID by PECOS | 5799702510 |
| Professional Enrollment ID | I20051031000506 |
| Full Name | Robert Vincent Carrillo |
| Organization Legal Name | MERCY KANSAS COMMUNITIES INC |
| Address |
401 Woodland Hills Blvd Fort Scott KS 66701-8797 |
| Phone Number | 6202237070 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1980 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| Group Practice PAC ID | 6204744287 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170058 | MERCY HOSPITAL-FORT SCOTT |
| Address | Phone | Organization |
|---|---|---|
| 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 | 6202237070 | MERCY KANSAS COMMUNITIES INC |
| 401 Woodland Hills Blvd, Mercy Anesthesia Fort Scott, Fort Scott, KS 66701-8797 | 6202237031 | MERCY KANSAS COMMUNITIES INC |
| Organization Legal Name | MERCY KANSAS COMMUNITIES INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kent A Coltharp | Family Practice | Mercy Kansas Communities Inc | 403 Woodland Hills Blvd A-b, Mc Primary Care Fort Scott, Fort Scott, KS 66701-8798 |
| Dena L Splitter | Nurse Practitioner | Mercy Kansas Communities Inc | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 |
| Gregory J King | Nurse Practitioner | Mercy Kansas Communities Inc | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 |
| William H Guilfoyle | Certified Registered Nurse Anesthetist | Mercy Kansas Communities Inc | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 |
| Paul R Brasuell | Certified Registered Nurse Anesthetist | Mercy Kansas Communities Inc | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 |
| Bailey J Kuhlman | Nurse Practitioner | Mercy Kansas Communities Inc | 403 Woodland Hills Blvd A-b, Mc Primary Care Fort Scott, Fort Scott, KS 66701-8798 |
| Steven V Weilert | Pathology | Mercy Kansas Communities Inc | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 |
| Roger D Parris | Family Practice | Mercy Kansas Communities Inc | 403 Woodland Hills Blvd, Fort Scott, KS 66701-8798 |
| Robert R Nichols | Family Practice | Mercy Kansas Communities Inc | 403 Woodland Hills Blvd, Fort Scott, KS 66701-8798 |
| Street Address |
401 WOODLAND HILLS BLVD |
| City | FORT SCOTT |
| State | KS |
| Zip | 66701-8797 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Diane Stinebaugh | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 |
| Amanda S Stice | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 |
| Pankaj Gugnani | Family Medicine | Community Health Center of Southeast Kansas Inc | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 |
| Maxwell James Self | Family Medicine | Community Health Center of Southeast Kansas Inc | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 |
| Katrina M Burke | Family Medicine | Community Health Center of Southeast Kansas Inc | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 |
| Travis Koeneke | Hematology/oncology | Cancer Center of Kansas.p.a. | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 |
| Dena L Splitter | Nurse Practitioner | Mercy Kansas Communities Inc | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 |
| Gregory J King | Nurse Practitioner | Mercy Kansas Communities Inc | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 |
| William H Guilfoyle | Certified Registered Nurse Anesthetist | Mercy Kansas Communities Inc | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 |
| Paul R Brasuell | Certified Registered Nurse Anesthetist | Mercy Kansas Communities Inc | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grant C Hartman | Chiropractic | 13 S National Ave, Fort Scott, KS 66701-1308 | |
| Randall R Holloway | Optometry | 4 S National Ave, Fort Scott, KS 66701-1309 | |
| Steve C Mitchell Sr. | Optometry | 624 S National Ave, Fort Scott, KS 66701-1391 | |
| Destiny D Foulk | Optometry | 624 S National Ave, Fort Scott, KS 66701-1391 | |
| Meredith V Tucker | Physical Therapy | 18 N Main St, Fort Scott, KS 66701-1435 | |
| Gentry A White | Qualified Speech Language Pathologist | 323 E Wall St, Fort Scott, KS 66701-1533 | |
| Erin M Crank | Chiropractic | Crank Chiropractic Care Inc | 325 E Wall St, Fort Scott, KS 66701-1533 |
| Katricia E Bradbury | Physical Therapy | Bradbury Therapy Consultants LLC | 323 E Wall St, Fort Scott, KS 66701-1533 |
| Ryan Lewis | Nurse Practitioner | Fort Scott Family Medicine Pa | 202 State St A, Fort Scott, KS 66701-2031 |
| Robert E Odell | Chiropractic | Fort Scott Chiropractic LLC | 222 State St, Fort Scott, KS 66701-2031 |
| Find all physicians in zip 66701 | |||
| City | FORT SCOTT |
| Zip Code | 66701 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| City + Specialty | FORT SCOTT + CERTIFIED REGISTERED NURSE ANESTHETIST |
Please comment or provide details below to improve the information on Robert Vincent Carrillo.
| 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.