Andrew S Dalton (NPI# 1134415557, PAC ID# 8628292513) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
Nation Provider ID (NPI) | 1134415557 |
PAC ID by PECOS | 8628292513 |
Professional Enrollment ID | I20171010003385 |
Full Name | Andrew S Dalton |
Organization Legal Name | BLUEJACKET EMERGENCY PHYSICIANS LLC |
Address |
13505 S Alden St Olathe KS 66062-5840 |
Phone Number | 9135415000 |
Gender | M |
Graduation Year | 2011 |
Primary Specialty | EMERGENCY MEDICINE |
Group Practice PAC ID | 0648423632 |
Number of Group Practice Members | 28 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
170182 | MENORAH MEDICAL CENTER |
260190 | LEE'S SUMMIT MEDICAL CENTER |
170176 | OVERLAND PARK REG MED CTR |
260027 | RESEARCH MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 8162764000 | BROOKLYN AVENUE EMERGENCY PHYSICIANS LLC |
2100 Se Blue Pkwy, Lee's Summit, MO 64063-1007 | 8162825000 | BLUE PARKWAY EMERGENCY PHYSICIANS LLC |
13505 S Alden St, Olathe, KS 66062-5840 | 9135415000 | BLUEJACKET EMERGENCY PHYSICIANS LLC |
5721 W 119th St, Overland Park, KS 66209-3722 | 9134986000 | NALL EMERGENCY PHYSICIANS LLC |
Organization Legal Name | BLUEJACKET EMERGENCY PHYSICIANS LLC |
Physicians | 21 |
Name | Specialty | Organization | Address |
---|---|---|---|
Justin K Cherian | Emergency Medicine | Bluejacket Emergency Physicians LLC | 10310 Shawnee Mission Pkwy, Shawnee, KS 66203-3502 |
Bradley M Chapman | Emergency Medicine | Bluejacket Emergency Physicians LLC | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
Nicholas S Hosey | Emergency Medicine | Bluejacket Emergency Physicians LLC | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
Sydney A Stahlberg | Emergency Medicine | Bluejacket Emergency Physicians LLC | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
Mark O Scott | Emergency Medicine | Bluejacket Emergency Physicians LLC | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
Eliana Megerman | Emergency Medicine | Bluejacket Emergency Physicians LLC | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
Macy M Stork | Nurse Practitioner | Bluejacket Emergency Physicians LLC | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
Austin Lee Koch | Emergency Medicine | Bluejacket Emergency Physicians LLC | 13505 S Alden St, Olathe, KS 66062-5840 |
Eric Russell Macrae | Emergency Medicine | Bluejacket Emergency Physicians LLC | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
Roger M Goldenberg | Emergency Medicine | Bluejacket Emergency Physicians LLC | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
Street Address |
13505 S ALDEN ST |
City | OLATHE |
State | KS |
Zip | 66062-5840 |
Name | Specialty | Organization | Address |
---|---|---|---|
Austin Lee Koch | Emergency Medicine | Bluejacket Emergency Physicians LLC | 13505 S Alden St, Olathe, KS 66062-5840 |
Name | Specialty | Organization | Address |
---|---|---|---|
Anna M Dietz Henk | Clinical Social Worker | 11695 S Blackbob Rd, Olathe, KS 66062-1058 | |
Jere Lee Mills | Chiropractic | 13795 S Mur-len Rd, Suite 203, Olathe, KS 66062-1096 | |
Tracy S Alagna | Nurse Practitioner | Mid America Senior Management LLC | 16600 W 126th St, Villa St Francis, Olathe, KS 66062-1184 |
Mary Sue Hardage | Clinical Social Worker | 511 N Mur Len Rd, Olathe, KS 66062-1242 | |
Jeremy S Dulin | Chiropractic | 13095 S Mur Len Rd, Suite 170, Olathe, KS 66062-1250 | |
Kim P Miley | Chiropractic | 13095 S Mur Len Rd, Suite 170, Olathe, KS 66062-1250 | |
Troy I Rockers | Chiropractic | 501 N Mur Len Rd A, Olathe, KS 66062-1258 | |
Brent L Halderman | Psychologist, Clinical | 513 N Mur Len Rd, Olathe, KS 66062-1318 | |
Carol Sabath | Nurse Practitioner | Take Care Health Kansas Pa | 13450 S Blackbob Rd, Olathe, KS 66062-1503 |
Callie Ballenger | Nurse Practitioner | Take Care Health Kansas Pa | 13450 S Blackbob Rd, Olathe, KS 66062-1503 |
Find all physicians in zip 66062 |
City | OLATHE |
Zip Code | 66062 |
Specialty | EMERGENCY MEDICINE |
City + Specialty | OLATHE + EMERGENCY MEDICINE |
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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.