Sean R Clinefelter (NPI# 1447332168, PAC ID# 6204802374) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1447332168 |
| PAC ID by PECOS | 6204802374 |
| Professional Enrollment ID | I20051114000598 |
| Full Name | Sean R Clinefelter |
| Organization Legal Name | PAIN SOURCE SOLUTIONS LLC |
| Address |
2800 Clay Edwards Dr N Kansas City MO 64116-3220 |
| Phone Number | 8166911779 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Group Practice PAC ID | 0547241986 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260096 | NORTH KANSAS CITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2800 Clay Edwards Dr, N Kansas City, MO 64116-3220 | 8166911779 | PAIN SOURCE SOLUTIONS LLC |
| 6264 Lewis Dr, Suite 100, Parkville, MO 64152-3603 | 8165878001 | SELECT PHYSICAL THERAPY HOLDINGS INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | PAIN SOURCE SOLUTIONS LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eleece M Kaiser | Nurse Practitioner | Pain Source Solutions LLC | 2800 Clay Edwards Dr, N Kansas City, MO 64116-3220 |
| Patrick D Griffith | Interventional Pain Management | Pain Source Solutions LLC | 2800 Clay Edwards Dr, N Kansas City, MO 64116-3220 |
| Street Address |
2800 CLAY EDWARDS DR |
| 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 | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | N KANSAS CITY + INTERVENTIONAL PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Sean R Clinefelter.
| 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.