Justin K Cherian (NPI# 1356789168, PAC ID# 9537438627) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1356789168 |
| PAC ID by PECOS | 9537438627 |
| Professional Enrollment ID | I20180709003110 |
| Full Name | Justin K Cherian |
| Organization Legal Name | BLUEJACKET EMERGENCY PHYSICIANS LLC |
| Address |
10310 Shawnee Mission Pkwy Shawnee KS 66203-3502 |
| Phone Number | 9132278400 |
| Gender | M |
| Graduation Year | 2013 |
| 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 |
|---|---|
| 170176 | OVERLAND PARK REG MED CTR |
| Address | Phone | Organization |
|---|---|---|
| 10310 Shawnee Mission Pkwy, Shawnee, KS 66203-3502 | 9132278400 | BLUEJACKET EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | BLUEJACKET EMERGENCY PHYSICIANS LLC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew S Dalton | Emergency Medicine | Bluejacket Emergency Physicians LLC | 13505 S Alden St, Olathe, KS 66062-5840 |
| 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 |
10310 SHAWNEE MISSION PKWY |
| City | SHAWNEE |
| State | KS |
| Zip | 66203-3502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark J Foland | Emergency Medicine | Bluejacket Emergency Physicians LLC | 10310 Shawnee Mission Pkwy, Shawnee, KS 66203-3502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly A Eaton | Chiropractic | 5103 Merriam Dr, Merriam, KS 66203-2167 | |
| Robert W Thompson Jr. | Ophthalmology | Thompson Eye Clinic, P.a. | 11005 W 60th St, Suite 210, Shawnee, KS 66203-2789 |
| Audrey Deanne Blacklock | Ophthalmology | Thompson Eye Clinic, P.a. | 11005 W 60th St, Suite 210, Shawnee, KS 66203-2789 |
| Laura Elizabeth Gengelbach | Optometry | Thompson Eye Clinic, P.a. | 11005 W 60th St, Suite 210, Shawnee, KS 66203-2789 |
| Kile R Kaspar | Chiropractic | Back In Motion Chiropractic, LLC | 11023 Johnson Dr, Shawnee, KS 66203-2831 |
| Scott Ronald Harvey | Chiropractic | Back In Motion Chiropractic, LLC | 11023 Johnson Dr, Shawnee, KS 66203-2831 |
| Alvin D Ens | Chiropractic | 6230 Nieman Rd, Shawnee, KS 66203-2902 | |
| Michael W Repp | Chiropractic | 5900 Nieman Rd, Suite 300, Shawnee, KS 66203-2906 | |
| Roy P Hall | Family Practice | Inpatient Consultants of Kansas Pa | 9700 W 62nd St, Merriam, KS 66203-3220 |
| Clifford L Holt | Optometry | 6435 Nieman Rd, Shawnee, KS 66203-3325 | |
| Find all physicians in zip 66203 | |||
| City | SHAWNEE |
| Zip Code | 66203 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SHAWNEE + 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.