Juan Carlos C Correa (NPI# 1508063835, PAC ID# 9830317247) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1508063835 |
| PAC ID by PECOS | 9830317247 |
| Professional Enrollment ID | I20140827000728 |
| Full Name | Juan Carlos C Correa |
| Organization Legal Name | KANSAS CITY VASCULAR AND GENERAL SURGERY GROUP LLC |
| Address |
5100 W 110th St Suite 300 Overland Park KS 66211-1215 |
| Phone Number | 9137542800 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | VASCULAR SURGERY |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 8224168927 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170182 | MENORAH MEDICAL CENTER |
| 260027 | RESEARCH MEDICAL CENTER |
| 260214 | BELTON REGIONAL MEDICAL CENTER |
| 170176 | OVERLAND PARK REG MED CTR |
| Address | Phone | Organization |
|---|---|---|
| 19600 E 39th St S, Centerpoint Medical Center, Independence, MO 64057-2301 | 8166987000 | KANSAS CITY VASCULAR AND GENERAL SURGERY GROUP LLC |
| 5100 W 110th St, Suite 300, Overland Park, KS 66211-1215 | 9137542800 | KANSAS CITY VASCULAR AND GENERAL SURGERY GROUP LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | KANSAS CITY VASCULAR AND GENERAL SURGERY GROUP LLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin W Lehr | General Surgery | Kansas City Vascular and General Surgery Group LLC | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 |
| Thomas A Franey | General Surgery | Kansas City Vascular and General Surgery Group LLC | 5100 W 110th St, Suite 300, Overland Park, KS 66211-1215 |
| William R Campbell Jr. | General Surgery | Kansas City Vascular and General Surgery Group LLC | 373 W 101st Terrace, Suite 210, Kansas City, MO 64114-4398 |
| Jessica L Thomas | Nurse Practitioner | Kansas City Vascular and General Surgery Group LLC | 2330 E Meyer Blvd, Suite 115, Kansas City, MO 64132-1143 |
| Jeffrey W Cameron | General Surgery | Kansas City Vascular and General Surgery Group LLC | 5721 W 119th St, Overland Park, KS 66209-3722 |
| Joe A Cates | Vascular Surgery | Kansas City Vascular and General Surgery Group LLC | 5721 W 119th St, Overland Park, KS 66209-3722 |
| Brian L Mccroskey | General Surgery | Kansas City Vascular and General Surgery Group LLC | 5100 W 110th St, Suite 300, Overland Park, KS 66211-1215 |
| Joshua S Langert | General Surgery | Kansas City Vascular and General Surgery Group LLC | 17065 S Outer Rd, Belton Regional Medical Center, Belton, MO 64012-2165 |
| Julie H Baker | Nurse Practitioner | Kansas City Vascular and General Surgery Group LLC | 19600 E 39th St S, Centerpoint Medical Center, Independence, MO 64057-2301 |
| Chelsey L Holden | Nurse Practitioner | Kansas City Vascular and General Surgery Group LLC | 5100 W 110th St, Suite 300, Overland Park, KS 66211-1215 |
| Street Address |
5100 W 110TH ST SUITE 300 |
| City | OVERLAND PARK |
| State | KS |
| Zip | 66211-1215 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas A Franey | General Surgery | Kansas City Vascular and General Surgery Group LLC | 5100 W 110th St, Suite 300, Overland Park, KS 66211-1215 |
| Brian L Mccroskey | General Surgery | Kansas City Vascular and General Surgery Group LLC | 5100 W 110th St, Suite 300, Overland Park, KS 66211-1215 |
| Chelsey L Holden | Nurse Practitioner | Kansas City Vascular and General Surgery Group LLC | 5100 W 110th St, Suite 300, Overland Park, KS 66211-1215 |
| Edward F Higgins Jr. | Vascular Surgery | Kansas City Vascular and General Surgery Group LLC | 5100 W 110th St, Suite 300, Overland Park, KS 66211-1215 |
| Caitlin E Rooney | General Surgery | Kansas City Vascular and General Surgery Group LLC | 5100 W 110th St, Suite 300, Overland Park, KS 66211-1215 |
| Ashley Rae Wiles | Nurse Practitioner | Kansas City Vascular and General Surgery Group LLC | 5100 W 110th St, Suite 300, Overland Park, KS 66211-1215 |
| Geneva G Beal | Nurse Practitioner | Kansas City Vascular and General Surgery Group LLC | 5100 W 110th St, Suite 300, Overland Park, KS 66211-1215 |
| Abigail E Burns | Nurse Practitioner | Kansas City Vascular and General Surgery Group LLC | 5100 W 110th St, Suite 300, Overland Park, KS 66211-1215 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darrell P Miller | Clinical Social Worker | 8400 W 110th, 410 Comprehensive Counseling, Overland Park, KS 66211 | |
| Janice M Scott | Psychiatry | Fss Psychiatric, LLC | 10711 Barkley St, Overland Park, KS 66211-1161 |
| Elizabeth J Friedman | Pathology | Kansas University Physicians Inc | 10720 Nall Ave, Ku Hospital Indian Creek, Leawood, KS 66211-1206 |
| Fang Fan | Pathology | Kansas University Physicians Inc | 10720 Nall Ave, Ku Hospital Indian Creek, Leawood, KS 66211-1206 |
| Janet M Woodroof | Pathology | Kansas University Physicians Inc | 10720 Nall Ave, Ku Hospital Indian Creek, Leawood, KS 66211-1206 |
| Rashna Madan | Pathology | Kansas University Physicians Inc | 10720 Nall Ave, Ku Hospital Indian Creek, Leawood, KS 66211-1206 |
| William N Rosenthal | Ophthalmology | 10740 Nall Ave, Suite 220, Overland Park, KS 66211-1238 | |
| Nicholas W Muller | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 10730 Nall Ave, 100 South Kansas City Surgicenter, Overland Park, KS 66211-1242 |
| Valerie L Wilen | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 10730 Nall Ave, 100 South Kansas City Surgicenter, Overland Park, KS 66211-1242 |
| Amber M Tiberio | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 10730 Nall Ave, 100 South Kansas City Surgicenter, Overland Park, KS 66211-1242 |
| Find all physicians in zip 66211 | |||
| City | OVERLAND PARK |
| Zip Code | 66211 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | OVERLAND PARK + VASCULAR SURGERY |
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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.