Bradley H Sullivan (NPI# 1790762227, PAC ID# 6507934817) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1790762227 |
| PAC ID by PECOS | 6507934817 |
| Professional Enrollment ID | I20100626000317 |
| Full Name | Bradley H Sullivan |
| Organization Legal Name | MIDWEST WOMENS HEALTHCARE SPECIALISTS LLC |
| Address |
17067 S Outer Rd Suite 200 Belton MO 64012-2100 |
| Phone Number | 8164446888 |
| Gender | M |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 6507997145 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260027 | RESEARCH MEDICAL CENTER |
| 260214 | BELTON REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 17065 S Outer Rd, Belton, MO 64012-2165 | 8163481200 | MIDWEST WOMENS HEALTHCARE SPECIALISTS LLC |
| 17067 S Outer Rd, Suite 200, Belton, MO 64012-2100 | 8164446888 | MIDWEST WOMENS HEALTHCARE SPECIALISTS LLC |
| 2800 E Rock Haven Rd, Harrisonville, MO 64701-4411 | 8163803291 | MIDWEST WOMENS HEALTHCARE SPECIALISTS LLC |
| 2316 E Meyer Blvd, Research Medical Center Hospital, Kansas City, MO 64132-1136 | 8162764000 | MIDWEST WOMENS HEALTHCARE SPECIALISTS LLC |
| 2340 E Meyer Blvd, Suite 598, Kansas City, MO 64132-1112 | 8164446888 | MIDWEST WOMENS HEALTHCARE SPECIALISTS LLC |
| 6400 Prospect Ave, Suite 598, Kansas City, MO 64132-4128 | 8164446888 | MIDWEST WOMENS HEALTHCARE SPECIALISTS LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | MIDWEST WOMENS HEALTHCARE SPECIALISTS LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary A Shanitkvich | Obstetrics/gynecology | Midwest Womens Healthcare Specialists LLC | 2340 E Meyer Blvd, Suite 598, Kansas City, MO 64132-1112 |
| Michaela L Galimba | Certified Nurse Midwife (cnm) | Midwest Womens Healthcare Specialists LLC | 6675 Holmes Rd, Suite 300, Kansas City, MO 64131-1167 |
| Katherine J Lorand | Certified Nurse Midwife (cnm) | Midwest Womens Healthcare Specialists LLC | 2340 E Meyer Blvd, Suite 598, Kansas City, MO 64132-1112 |
| Aubree M Remsburg | Certified Nurse Midwife (cnm) | Midwest Womens Healthcare Specialists LLC | 2340 E Meyer Blvd, Suite 598, Kansas City, MO 64132-1112 |
| Rebecca R Wayman | Obstetrics/gynecology | Midwest Womens Healthcare Specialists LLC | 6400 Prospect Ave, Suite 598, Kansas City, MO 64132-4128 |
| Rebecca J Ward | Obstetrics/gynecology | Midwest Womens Healthcare Specialists LLC | 2340 E Meyer Blvd, Suite 598, Kansas City, MO 64132-1112 |
| Natasha Patel | Obstetrics/gynecology | Midwest Womens Healthcare Specialists LLC | 2340 E Meyer Blvd, Suite 598, Kansas City, MO 64132-1112 |
| Meredith C Levine | Obstetrics/gynecology | Midwest Womens Healthcare Specialists LLC | 2340 E Meyer Blvd, Suite 598, Kansas City, MO 64132-1112 |
| Ronald E Brunnabend II | Obstetrics/gynecology | Midwest Womens Healthcare Specialists LLC | 6400 Prospect Ave, Suite 598, Kansas City, MO 64132-4128 |
| Sheila R Roth | Certified Nurse Midwife | Midwest Womens Healthcare Specialists LLC | 6675 Holmes Rd, Suite 300, Kansas City, MO 64131-1167 |
| Street Address |
17067 S OUTER RD SUITE 200 |
| City | BELTON |
| State | MO |
| Zip | 64012-2100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon E Kohake | Neurology | Research Neurology Associates, LLC | 17067 S Outer Rd, Suite 200, Belton, MO 64012-2100 |
| Brian P Mieczkowski | Internal Medicine | Kansas City Pulmonology Practice LLC | 17067 S Outer Rd, Suite 200, Belton, MO 64012-2100 |
| Michael D Chacey | Pulmonary Disease | Kansas City Pulmonology Practice LLC | 17067 S Outer Rd, Suite 200, Belton, MO 64012-2100 |
| Logan F Kratt | Family Medicine | Belton Family Practice Clinic LLC | 17067 S Outer Rd, Suite 100, Belton, MO 64012-2100 |
| Lyndsey N Augur | Physician Assistant | Signature Medical Group of Kc Pa | 17067 S Outer Rd, Suite 301, Belton, MO 64012-2165 |
| Timothy L Blackburn | Cardiovascular Disease (cardiology) | Midwest Heart and Vascular Specialists LLC | 17067 S Outer Rd, Suite 200, Belton, MO 64012-2100 |
| Lindsey M Brown | Nurse Practitioner | Signature Medical Group of Kc Pa | 17067 S Outer Rd, Suite 301, Belton, MO 64012-2165 |
| William Miles Beary | Pulmonary Disease | Kansas City Pulmonology Practice LLC | 17067 S Outer Rd, Suite 200, Belton, MO 64012-2100 |
| Kathryn S Kincaide | Nurse Practitioner | Kansas City Pulmonology Practice LLC | 17067 S Outer Rd, Suite 200, Belton, MO 64012-2100 |
| Douglas L Bradley | Family Medicine | Belton Family Practice Clinic LLC | 17067 S Outer Rd, Suite 100, Belton, MO 64012-2100 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Breann K Smith | Hospitalist | Connectcare Hospitalists LLC | 17065 S U S 71 Hwy, Belton Regional Medical Center, Belton, MO 64012 |
| Melissa S Campbell | Nurse Practitioner | Connectcare Hospitalists LLC | 17065 S U S 71 Hwy, Belton Regional Medical Center, Belton, MO 64012 |
| John Paul Armilio | Family Medicine | Connectcare Hospitalists LLC | 17065 S U S 71 Hwy, Belton Regional Medical Center, Belton, MO 64012 |
| Nilofar D Rahman | Hospitalist | Connectcare Hospitalists LLC | 17065 S U S 71 Hwy, Belton Regional Medical Center, Belton, MO 64012 |
| Amy W Gemperli | Ophthalmology | Heart of America Eye Care, P.a. | 424 E N Ave, Belton, MO 64012-2017 |
| Amy E Ciccio | Ophthalmology | Heart of America Eye Care, P.a. | 424 E N Ave, Belton, MO 64012-2017 |
| Ginger E Cline | Optometry | Heart of America Eye Care, P.a. | 424 E N Ave, Belton, MO 64012-2017 |
| Alan E Bauman | Ophthalmology | State Line Eye Care Center, PC | 424 E N Ave, Cass County Eye Care Ctr, Belton, MO 64012-2017 |
| Rick D Thomas | Clinical Psychologist | 409 N Scott Ave, Belton, MO 64012-2035 | |
| Robert A Bondi | Podiatry | 115 Bradford Lane, Belton, MO 64012-2086 | |
| Find all physicians in zip 64012 | |||
| City | BELTON |
| Zip Code | 64012 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | BELTON + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Bradley H Sullivan.
| 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.