Jack Ryan Hudkins, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

6409 Issued in KS

Practice address

2820 E Rock Haven Road
Suite 210
Harrisonville, MO 64701

Phone

(816) 380-2446

Fax

(816) 380-4791

NPI assigned

Apr 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

University of Oklahoma College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cass Regional Medical CenterGroup PAC ID 7517853781, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cass Regional Medical Center Hospital, Harrisonville, MO, CCN 261324

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jack.hudkins@cassregional.direct-ci.com
• FHIR API: https://api.platform.athenahealth.com/14773/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cass Regional Medical Center

  • Critical Access Hospital
  • Harrisonville, MO
  • NPI 1477535326
  Medicare reassignment Care Compare group NPD
• Cass Regional Medical Center

  • Rural Health Clinic/Center
  • Pleasant Hill, MO
  • NPI 1538159058
  NPD
• Harrisonville Family Medicine, Inc.

  • Family Medicine Physician
  • Harrisonville, MO
  • NPI 1891715652
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cass Regional Medical Center

  • Critical Access Hospital
  • Harrisonville, MO
  • NPI 1477535326
  Care Compare affiliation

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1306064092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 E ROCK HAVEN ROAD",
            "address_2": "SUITE 210",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "64701",
            "telephone_number": "816-380-2446",
            "fax_number": "816-380-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 E ROCK HAVEN ROAD",
            "address_2": "SUITE 210",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "64701",
            "telephone_number": "816-380-2446",
            "fax_number": "816-380-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDKINS",
        "first_name": "JACK",
        "middle_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2011-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "6409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Heather Hiser, LPC
• Cheri Hobbs, FNP-C
• Shaun B. Holden, M.D.
• Holly B. Chatain, Inc.
• Tanya Lynn Houchen, PHARM. D.
• Iniquitoria LLC
• Innerbridge Wellness Group LLC
• Kimberly Dawn Ireland, MS CCC SLP
• Isd Renal Inc
• Pamela Ann Jackson, CRADC

• Surgery Physician in Harrisonville, MO
• Providers in Harrisonville, MO by specialty
• Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.