Steven Eugene Kisker, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2014038419 Issued in MO

Practice address

211 NE 54TH St
Suite 201
Kansas City, MO 64118-4390

Phone

(816) 453-6777

Fax

(816) 454-3601

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Betty Jean Kerr People'S Health Centers

  • Community/Behavioral Health Agency
  • Saint Louis, MO
  • NPI 1679604318
  Medicare reassignment NPD

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415664000000",
    "number": "1801838297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 NE 54TH ST",
            "address_2": "SUITE 201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184390",
            "telephone_number": "816-453-6777",
            "fax_number": "816-454-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 NE 54TH ST",
            "address_2": "SUITE 201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184390",
            "telephone_number": "816-453-6777",
            "fax_number": "816-454-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISKER",
        "first_name": "STEVEN",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2014-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-24157",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2014038419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus Alexander Kirkpatrick, BS
• Amy Kirkwood
• Alice Anne Kirsch, RN
• Kiser Pediatric Dentistry II / Dba Little Chompers Pediatric Dentistry
• Amy M Kiser, OTR
• Janay Kissinger, ANP
• Jacqueline R Kitchen, M.D.
• Adriana Kitchens, DO
• Mason L Kitchens
• Collin Kitzerow, M.D.

• Psychiatry Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.