Active NPI
Ellen Chadick
- Anesthesiologist Assistant
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- Practice address
- 1923 S Utica Ave
Tulsa, OK 74104-6520 - Phone
- (918) 744-2345
- NPI assigned
- Jan 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | Primary |
Addresses
Primary practice location
1923 S Utica Ave
Tulsa, OK 74104-6520
Mailing address
13849 Horton Dr
Overland Park, KS 66223-2977
Phone (913) 530-1578
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4150 N Mulberry Dr
Suite 100
Kansas City, MO 64116-1779
Phone (469) 863-9978
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.56 of 100
- Quality
- 76.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21 | OK | MD | Perfusionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthomed Staffing LLC | Current | Accepting new patients |
Locations
17050 Baxter Rd
Ste 110
Chesterfield, MO 63005
Phone (636) 537-0122
305 N Keene St
Ste 107
Columbia, MO 65201
Phone (573) 239-3310
211 NE 54th St
Ste 100
Kansas City, MO 64118
Phone (816) 455-4214
200 NE 54th St
Unit 200
Kansas City, MO 64118
4150 N Mulberry Dr
Ste 100
North Kansas City, MO 64116
Phone (816) 214-4364
1040 Old des Peres Rd
Saint Louis, MO 63131
Phone (314) 729-9780
9701 Landmark Parkway Dr
Ste 100
Saint Louis, MO 63127
Phone (314) 396-9517
10435 Clayton Rd
Ste 110
Saint Louis, MO 63131
Phone (314) 576-1400
4594 S Lindbergh Blvd
Saint Louis, MO 63127
Phone (314) 842-2607
12639 Old Tesson Rd
Ste 130
Saint Louis, MO 63128
Phone (314) 729-0785
5139 Mattis Rd
Ste 100
Saint Louis, MO 63128
Phone (314) 207-8939
1050 Old des Peres Rd
Ste 150
Saint Louis, MO 63131
Phone (314) 396-9517
5401 Veterans Memorial Pkwy
Ste 100
Saint Peters, MO 63376
Phone (636) 441-0906
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548806400000",
"number": "1881158178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13849 HORTON DR",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662232977",
"telephone_number": "913-530-1578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1923 S UTICA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741046520",
"telephone_number": "918-744-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHADICK",
"first_name": "ELLEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-30",
"last_updated": "2019-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.