Justin Richard Casey (NPI# 1447679386, PAC ID# 9537392964) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1447679386 |
| PAC ID by PECOS | 9537392964 |
| Professional Enrollment ID | I20140508001883 |
| Full Name | Justin Richard Casey |
| Organization Legal Name | PERFORMANCE PLUS REHABILITATION CENTER LLC |
| Address |
313 S 169 Hwy Gower MO 64454 |
| Phone Number | 8162325113 |
| Gender | M |
| Medical School | CLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY |
| Graduation Year | 2013 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 5294791695 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 313 S 169 Hwy, Gower, MO 64454 | 8162325113 | PERFORMANCE PLUS REHABILITATION CENTER LLC |
| 1802 N Woodbine Rd, Saint Joseph, MO 64506-3667 | 8162325113 | PERFORMANCE PLUS REHABILITATION CENTER LLC |
| Organization Legal Name | PERFORMANCE PLUS REHABILITATION CENTER LLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luke J Brennan | Chiropractic | Performance Plus Rehabilitation Center LLC | 602 Lana Dr, Suite A, Cameron, MO 64429-1473 |
| Joshua A Middendorf | Chiropractic | Performance Plus Rehabilitation Center LLC | 1802 N Woodbine Rd, Saint Joseph, MO 64506-3667 |
| Kathy F Darnell | Nurse Practitioner | Performance Plus Rehabilitation Center LLC | 1802 N Woodbine Rd, Saint Joseph, MO 64506-3667 |
| Allyn N Smith | Chiropractic | Performance Plus Rehabilitation Center LLC | 1802 N Woodbine Rd, Saint Joseph, MO 64506-3667 |
| James Gaunt | Otolaryngology | Performance Plus Rehabilitation Center LLC | 1802 N Woodbine Rd, Saint Joseph, MO 64506-3667 |
| Robert F Paul | Orthopedic Surgery | Performance Plus Rehabilitation Center LLC | 1802 N Woodbine Rd, Saint Joseph, MO 64506-3667 |
| Vikas Agarwal | Internal Medicine | Performance Plus Rehabilitation Center LLC | 1802 N Woodbine Rd, Saint Joseph, MO 64506-3667 |
| Anthony Ezemba | Physical Medicine and Rehabilitation | Performance Plus Rehabilitation Center LLC | 1802 N Woodbine Rd, Saint Joseph, MO 64506-3667 |
| Steven D Brushwood | Family Medicine | Performance Plus Rehabilitation Center LLC | 1802 N Woodbine Rd, Saint Joseph, MO 64506-3667 |
| Randy S Buckles | Family Medicine | Performance Plus Rehabilitation Center LLC | 1802 N Woodbine Rd, Saint Joseph, MO 64506-3667 |
| Street Address |
313 S 169 HWY |
| City | GOWER |
| State | MO |
| Zip | 64454 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| April I Wamsley | Nurse Practitioner | Northwest Health Services Inc | 303 S Us Hwy 169, Gower, MO 64454-9116 |
| City | GOWER |
| Zip Code | 64454 |
| Specialty | CHIROPRACTIC |
| City + Specialty | GOWER + CHIROPRACTIC |
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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.