KC Pain Centers, LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

KC PAIN CENTERS, LLC

Practice address

200 NE Missouri Rd
Suite 103
Lees Summit, MO 64086-4722

Phone

(816) 763-1559

Fax

(816) 965-8404

NPI assigned

Nov 4, 2005

Organization subpart

Yes

Parent organization

ANESTHESIA ASSOCIATES OF KANSAS CITYAs reported in NPPES

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

Authorized official

Name

Ryan J. Grindstaff, MD, PHD

Title

President

Phone

(913) 428-2900

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

KC Pain Center LLC2 organizations share this tax ID, including this one

Part of

Anesthesia Associates K

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pain Management Associates

  • Pain Medicine Physician
  • Overland Park, KS
  • NPI 1598297343
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Anesthesia Associates of Kansas City PC

  • Pain Medicine Physician
  • Independence, MO
  • NPI 1467443614
  NPPES parent name

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joel David Ackerman, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Lees Summit, MO
  • NPI 1467438010

  KS

  Medicare reassignment Care Compare group NPD
• Rebecca C Burfeind, MD

  • Pain Medicine (Anesthesiology) Physician
  • Lees Summit, MO
  • NPI 1154302917

  KS

  Medicare reassignment Care Compare group NPD
• Mark B Chaplick, DO

  • Pain Medicine (Anesthesiology) Physician
  • Lees Summit, MO
  • NPI 1316928179

  KS

  Medicare reassignment Care Compare group NPD
• Sherry Lynn Frank, FNP

  • Nurse Practitioner
  • Lees Summit, MO
  • NPI 1306369194

  KS

  Medicare reassignment Care Compare group NPD
• Atef F Israel, MD

  • Pain Medicine (Anesthesiology) Physician
  • Independence, MO
  • NPI 1700867587

  KS

  Medicare reassignment Care Compare group NPD
• Curtis Delon Johnson, MD

  • Pain Medicine (Anesthesiology) Physician
  • Kansas City, MO
  • NPI 1619927225

  KS

  Medicare reassignment Care Compare group NPD
• Anna Maizlin, APRN, ANP-BC

  • Adult Health Nurse Practitioner
  • Lees Summit, MO
  • NPI 1639594864

  KS

  Medicare reassignment Care Compare group NPD
• Sara Ann Oberlander, AGACNP-C

  • Nurse Practitioner
  • Lees Summit, MO
  • NPI 1326667155

  KS

  Medicare reassignment Care Compare group NPD
• James A Scowcroft, MD

  • Pain Medicine (Anesthesiology) Physician
  • Lees Summit, MO
  • NPI 1285615450

  KS

  Medicare reassignment Care Compare group NPD
• Shavonne L Danner, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Liberty, MO
  • NPI 1972728582
  NPD (past)
• Stephen C. Ellis, MD

  • Anesthesiology Physician
  • Independence, MO
  • NPI 1275515314
  NPD (past)
• James Anthony Glenski, MD

  • Anesthesiology Physician
  • Kansas City, MO
  • NPI 1275581191
  NPD (past)

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1144211384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8717 W 110TH ST",
            "address_2": "SUITE 600",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102144",
            "telephone_number": "913-428-2900",
            "fax_number": "913-428-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NE MISSOURI RD",
            "address_2": "SUITE 103",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864722",
            "telephone_number": "816-763-1559",
            "fax_number": "816-965-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC PAIN CENTERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANESTHESIA ASSOCIATES OF KANSAS CITY",
        "enumeration_date": "2005-11-04",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "GRINDSTAFF",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-428-2900",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE KCP",
            "identifier": "CH6776",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CK2816",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "509679106",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CR0764",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "18971015",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H530000",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Gallo Therapy, LLC
• KC Braces, LLC
• KC Counseling Group LLC
• KC Dental Co LLC
• KC Pain ASC, LLC
• Kcpedsrd LLC
• Kcrcmd Inc
• Jason Edward Kearns, PA-C
• Katherine Anne Keaton, APRN
• Chandler Keeton

• Pain Medicine Physician in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Pain Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.