Patrick M Wambugu (NPI# 1174914204, PAC ID# 5991023111) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1174914204 |
| PAC ID by PECOS | 5991023111 |
| Professional Enrollment ID | I20150417001025 |
| Full Name | Patrick M Wambugu |
| Organization Legal Name | REDISCOVER |
| Address |
2600 E 12th St Kansas City MO 64127-1321 |
| Phone Number | 8169651100 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3375453517 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260048 | TRUMAN MEDICAL CENTER HOSPITAL HILL |
| 260102 | TRUMAN MEDICAL CENTER LAKEWOOD |
| Address | Phone | Organization |
|---|---|---|
| 1000 E 24th St, 2e Truman Medical Center Recovery Health Services, Kansas City, MO 64108-2640 | 8164045850 | TRUMAN MEDICAL CENTER INCORPORATED |
| 1000 E 24th St Unit 2c Office, 53 Truman Medical Center Incorporated Behavioral Hlth, Kansas City, MO 64108-2640 | 8164043710 | TRUMAN MEDICAL CENTER INCORPORATED |
| 2301 Holmes St, Kansas City, MO 64108-2640 | 8164041000 | TRUMAN MEDICAL CENTER INCORPORATED |
| 2600 E 12th St, Kansas City, MO 64127-1321 | 8169651100 | REDISCOVER |
| 300 W 19th Ter, Truman Medical Center Incorporated Behavioral Hlth, Kansas City, MO 64108-2026 | 8164045709 | TRUMAN MEDICAL CENTER INCORPORATED |
| 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 8164047000 | TRUMAN MEDICAL CENTER INCORPORATED |
| 13351 S Arapaho Dr, Olathe, KS 66062-1520 | 9133533000 | COTTONWOOD SPRINGS PHYSICIAN GROUP LLC |
| Organization Legal Name | REDISCOVER |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roopa Patel Mokha | Nurse Practitioner | Rediscover | 1000 E 24th St, Kansas City, MO 64108-2776 |
| Meron Tibebu | Nurse Practitioner | Rediscover | 1515 Ne Rice Rd, Lees Summit, MO 64086-5849 |
| Ashley Cott | Nurse Practitioner | Rediscover | 6801 E 117th St, Kansas City, MO 64134-3701 |
| Jennifer A Brown | Nurse Practitioner | Rediscover | 8800 Blue Ridge Blvd, Suite 100, Kansas City, MO 64138-4000 |
| Sue L Severance | Clinical Social Worker | Rediscover | 1535 Ne Rice Rd, Lees Summit, MO 64086-5849 |
| Lauren J Moyer | Clinical Social Worker | Rediscover | 1579 Ne Rice Rd, Lees Summit, MO 64086-5849 |
| Laurel B Owens | Nurse Practitioner | Rediscover | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 |
| Carol A Huhs | Clinical Social Worker | Rediscover | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 |
| Janice L Downey | Psychiatry | Rediscover | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 |
| Mairaj A Khan | Psychiatry | Rediscover | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 |
| Street Address |
2600 E 12TH ST |
| City | KANSAS CITY |
| State | MO |
| Zip | 64127-1321 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emeka Ogwudile | Nurse Practitioner | Rediscover | 2600 E 12th St, Kansas City, MO 64127-1321 |
| Theresa C Mueller | Nurse Practitioner | Rediscover | 2600 E 12th St, Kansas City, MO 64127-1321 |
| John Scott Landregan | Clinical Social Worker | Rediscover | 2600 E 12th St, Kansas City, MO 64127-1321 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas M Burgess | Psychiatry | University Health Physicians | 1730 Prospect Ave, Recovery Health Service, Kansas City, MO 64127-2544 |
| City | KANSAS CITY |
| Zip Code | 64127 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | KANSAS CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Patrick M Wambugu.
| 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.