Saint Lukes Physician Group Inc

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SAINT LUKES PHYSICIAN GROUP INC

Practice address

8501 W 95TH St
Overland Park, KS 66212-3220

Phone

(913) 323-8880

NPI assigned

Sep 21, 2020

Last updated

Sep 25, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

SAINT LUKES PHYSICIAN GROUP INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Julie Murphy

Title

Cfo

Phone

(816) 599-9563

Specialties & licenses 8

Addresses

Other identifiers 4

Other names 1

• Saint Lukes Convenient Care Other name

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Saint Lukes Physician Group Inc

  • Urgent Care Clinic/Center
  • Overland Park, KS
  • NPI 1427664283

  O20031111000818, O20050302000266

  Same enrollment
• Saint Luke's Physician Group Inc

  dba Saint Luke's Medical Group

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1093263717

  O20031111000818, O20050302000266

  Same enrollment
• Saint Luke's Physician Group Inc

  • Infusion Therapy Clinic/Center
  • Blue Springs, MO
  • NPI 1376257220

  O20031111000818, O20050302000266

  Same enrollment

Part of

3 Saint Lukes Shawnee M

Locations

Practitioners 107

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicholas Cris Barnthouse, M.D.

  • Diagnostic Radiology Physician
  • Kansas City, KS
  • NPI 1962848838
  NPD
• Abbey Marie Bays, MPAS, PA-C

  • Plastic Surgery Physician
  • Overland Park, KS
  • NPI 1649818014
  NPD
• Kimberly A Buehler, PA-C

  • Physician Assistant
  • Overland Park, KS
  • NPI 1144276619
  NPD
• Catherine Cook, RN, BSN, CPN

  • Family Nurse Practitioner
  • Overland Park, KS
  • NPI 1457814022
  NPD
• Gary L. Cornette, D.O.

  • Gastroenterology Physician
  • Overland Park, KS
  • NPI 1639149271

  Family Medicine

  NPD
• Kelcey Dunworth

  • Acute Care Nurse Practitioner
  • Overland Park, KS
  • NPI 1780339994
  NPD
• Sarah E Ermer, APRN-DNP

  • Family Nurse Practitioner
  • Overland Park, KS
  • NPI 1043704448
  NPD
• Bertrand Laurent Gallet, M.D.

  • Diagnostic Radiology Physician
  • Overland Park, KS
  • NPI 1629053152
  NPD
• Gabriela Marie Garza

  • Physician Assistant
  • Lawrence, KS
  • NPI 1912557844
  NPD
• Erin Elizabeth Gideon, PA-C

  • Surgical Oncology Physician
  • Overland Park, KS
  • NPI 1952858995

  Physician Assistant

  NPD
• Nichole Lee Hale, DNP, ARNP, FNP-C

  • Nurse Practitioner
  • Overland Park, KS
  • NPI 1174255939
  NPD
• Anna Elyse Kawase, PA-C

  • Physician Assistant
  • Overland Park, KS
  • NPI 1669003935
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1043826563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 104TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314517",
            "telephone_number": "816-502-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 W 95TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662123220",
            "telephone_number": "913-323-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT LUKES PHYSICIAN GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT LUKES PHYSICIAN GROUP INC",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "816-599-9563"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  PIN",
            "identifier": "G930000",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "110403",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "H720000",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "B940000",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Lukes Convenient Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Saint Luke's South Hospital Inc. (Saint Luke's South Physician Group)
• Saint Luke's South Hospital Inc.
• Saint Luke's South Hospital, Inc (Saint Luke's South Retail Pharmacy)
• Saint Luke's South Hospital, Inc (Saint Luke's South Retail Pharmacy)
• Saint Lukes Northland Hospital Corporation
• Saint Lukes Physician Group Inc
• Saint Lukes South Hospital Inc (SLS Mission Farms Pharmacy)
• Saint Lukes South Hospital, Inc.
• Saint Lukes South Hospital, Inc.
• Saint Lukes South Pain Management Center LLC

• Nurse Practitioner in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.