Terry D Suppes (NPI# 1194763524, PAC ID# 9830174457) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1194763524 |
| PAC ID by PECOS | 9830174457 |
| Professional Enrollment ID | I20040618001296 |
| Full Name | Terry D Suppes |
| Organization Legal Name | GOPPERT TRINITY FAMILY CARE LLC |
| Address |
5151 Troost Ave Suite 200 Kansas City MO 64110-2524 |
| Phone Number | 8162371616 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1988 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Group Practice PAC ID | 8426956681 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260027 | RESEARCH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5151 Troost Ave, Suite 200, Kansas City, MO 64110-2524 | 8162371616 | GOPPERT TRINITY FAMILY CARE LLC |
| 6675 Holmes Rd, Suite 360, Kansas City, MO 64131-1167 | 8162767600 | GOPPERT TRINITY FAMILY CARE LLC |
| Organization Legal Name | GOPPERT TRINITY FAMILY CARE LLC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Valerie Lynn Duff | Family Medicine | Goppert Trinity Family Care LLC | 6675 Holmes Rd, Suite 360, Kansas City, MO 64131-1167 |
| Chris W Craemer | Family Medicine | Goppert Trinity Family Care LLC | 6675 Holmes Rd, Suite 360, Kansas City, MO 64131-1167 |
| Kavitha K Arabindoo | Family Medicine | Goppert Trinity Family Care LLC | 6675 Holmes Rd, Suite 360, Kansas City, MO 64131-1167 |
| Sandra L Lepinski | Family Medicine | Goppert Trinity Family Care LLC | 6675 Holmes Rd, Suite 360, Kansas City, MO 64131-1167 |
| Donald E Philgreen | Family Medicine | Goppert Trinity Family Care LLC | 6675 Holmes Rd, Suite 360, Kansas City, MO 64131-1167 |
| Gazala Parvin | Family Medicine | Goppert Trinity Family Care LLC | 6675 Holmes Rd, Suite 360, Kansas City, MO 64131-1167 |
| Revathi N Bhat | Internal Medicine | Goppert Trinity Family Care LLC | 6675 Holmes Rd, Suite 360, Kansas City, MO 64131-1167 |
| Anne K Sly | Family Medicine | Goppert Trinity Family Care LLC | 6675 Holmes Rd, Suite 360, Kansas City, MO 64131-1167 |
| Mark R Suenram | Family Medicine | Goppert Trinity Family Care LLC | 6675 Holmes Rd, Suite 360, Kansas City, MO 64131-1167 |
| Tricia Lyn Fairchild | Family Medicine | Goppert Trinity Family Care LLC | 6675 Holmes Rd, Suite 360, Kansas City, MO 64131-1167 |
| Street Address |
5151 TROOST AVE SUITE 200 |
| City | KANSAS CITY |
| State | MO |
| Zip | 64110-2524 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle D Hart | Nurse Practitioner | Goppert Trinity Family Care LLC | 5151 Troost Ave, Suite 200, Kansas City, MO 64110-2524 |
| Brent A. Hrabik | Family Medicine | Goppert Trinity Family Care LLC | 5151 Troost Ave, Suite 200, Kansas City, MO 64110-2524 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer S Worth | Clinical Social Worker | 601 E 63rd St, 230 Worth It, Kansas City, MO 64110-3303 | |
| Jennifer C Lympus | Clinical Social Worker | 601 E 63rd St, 340 Brookside Counseling, Kansas City, MO 64110-3303 | |
| Sarah B Dominguez | Physical Therapy | Foundational Concepts Inc | 601 E 63rd St, Suite 230, Kansas City, MO 64110-3303 |
| Brenda L Willis | Clinical Social Worker | 601 E 63rd St, Suite 340, Kansas City, MO 64110-3303 | |
| Heather M Robinson | Clinical Social Worker | 601 E 63rd St, Suite 340, Kansas City, MO 64110-3303 | |
| Kelly J Logan | Physical Medicine and Rehabilitation | 601 E 63rd St, Suite 201, Kansas City, MO 64110-3303 | |
| Roland Sabates | Ophthalmology | 520 E 63rd St, Brookside Eye Care Center, Kansas City, MO 64110-3330 | |
| Gerhard W Cibis | Ophthalmology | 520 E 63rd St, Kansas City, MO 64110-3330 | |
| Susan J Brandt | Psychologist, Clinical | 633 E 63rd St, 240 Counseling Solutions, Kansas City, MO 64110-3331 | |
| Halima A Farah | Chiropractic | 751 E 63rd St, Suite 110, Kansas City, MO 64110-3361 | |
| Find all physicians in zip 64110 | |||
| City | KANSAS CITY |
| Zip Code | 64110 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KANSAS CITY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Terry D Suppes.
| 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.