Barry D Rutherford
Internal Medicine (Interventional Cardiology)

Address: 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-5939
Phone: 8169311883

Barry D Rutherford (NPI# 1396701066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1396701066
Entity Type Individual
Full Name Barry D Rutherford
Credential M.D.
Gender Male
Practice Address 4330 Wornall Rd
Suite 2000
Kansas City
MO 64111-5939
Practice Telephone 8169311883
Practice Fax Number 8167563645
Mailing Address 901 E 104th St
Mailstop 400s
Kansas City
MO 64131
Mailing Telephone 8165027117
Mailing Fax Number 8169329670
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-04-21
Last Update Date 2018-02-16

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207RC0000X Internal Medicine · Cardiovascular Disease Allopathic & Osteopathic Physicians R7212 MO
No 207RC0000X Internal Medicine · Cardiovascular Disease Allopathic & Osteopathic Physicians 0430192 KS
Yes 207RI0011X Internal Medicine · Interventional Cardiology Allopathic & Osteopathic Physicians R7212 MO

Other Provider Identifier

State Identifier Issuer Type Code
KS 100135180A MEDICAID
KS KA1021037 OTHER MEDICARE - CUSHING
MO 201106507 MEDICAID
KS 100135180C OTHER MEDICAID - CUSHING
KS 100135180F MEDICAID
KS P00842639 OTHER RAILROAD MEDICARE
KS 100135180E MEDICAID

Physician Overview

NPI 1396701066
PAC ID by PECOS 1951331834
Professional Enrollment ID I20050819000700
Full Name Barry D Rutherford
Organization Legal Name SAINT LUKES PHYSICIAN GROUP INC
Phone Number 9137728200
Gender M
Credential MD
Graduation Year 1963
Primary Specialty INTERVENTIONAL CARDIOLOGY
Secondary Specialties CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE
Group Practice PAC ID 3577476894
Number of Group Practice Members 800
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
260138 ST LUKES HOSPITAL OF KANSAS CITY
260216 SAINT LUKE'S EAST HOSPITAL
260062 SAINT LUKES NORTH HOSPITAL
261321 HEDRICK MEDICAL CENTER
170185 SAINT LUKE'S SOUTH HOSPITAL

Office Location

Street Address 4330 WORNALL RD
SUITE 2000
City KANSAS CITY
State MO
Zip Code 64111-5939

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356336549 Leigh A Nelson Pharmacist 4330 Wornall Rd, St. Luke's Multi-specialty Clinic, Medical Plaza Bldg., Kansas City, MO 64111-3217 2005-09-14
1447745708 Laura Ashley Amos Nurse Practitioner 4330 Wornall Rd, Kansas City, MO 64111-3201 2018-06-28
1861987042 Lyndsay Kidd Registered Nurse 4330 Wornall Rd, Ste 2000, Kansas City, MO 64111 2018-06-28
1851831176 Saint Luke's Cardiovascular Consultants Clinic/Center 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-3201 2017-03-06
1821545880 Barbara Sue Lee Registered Nurse 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-3201 2016-09-07
1316490667 Julia E. Bridges Nurse Practitioner 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-3201 2016-08-03
1871945303 Leandrea Williams Nurse Practitioner 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-3201 2016-07-08
1043660392 Nicole E Hoover Nurse Practitioner 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-3201 2016-06-17
1689024861 Katie Nicole Jaschke Nurse Practitioner 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-3201 2016-06-17
1043660764 Lauren Rasmussen Nurse Practitioner 4330 Wornall Rd, Medical Plaza IIi Suite 2000, Kansas City, MO 64111-3201 2016-06-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861975005 Adyssa Thompson Nurse Practitioner 3606 Gillham Road, 19, Kansas City, MO 64111 2018-09-13
1558844241 Guardian Angels, LLC Home Health 4049 Pennsylvania Ave, Kansas City, MO 64111 2018-09-10
1730669169 Hannah Eagleburger Physician Assistant 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 2018-08-15
1720579808 Jacqueline Michelle Johnson Registered Nurse 4321 Washington St Ste 6100, Kansas City, MO 64111 2018-05-23
1316460835 Kandace Callwell Counselor 4106 Baltimore Ave, Kansas City, MO 64111 2017-07-18
1780046250 Sara Koenemann Nurse Practitioner 4400 Broadway St., Ste. 520, Kansas City, MO 64111 2016-03-24
1932586245 Suzzette Griffith Acupuncturist 406 W 34th Street Ste 812, Kansas City, MO 64111 2015-05-06
1972999225 Timothy O Olatunde Student in an Organized Health Care Education/Training Program 4410 Wornall Road, Kansas City, MO 64111 2015-04-14
1730595026 Morgan Nelson Audiologist 4230 Wornall Road, Suite 420, Kansas City, MO 64111 2014-07-07
1679984371 Lauren Regueyra Student in an Organized Health Care Education/Training Program 4320 Wornall Rd Ste 336, Kansas City, MO 64111 2014-05-15
Find all providers in zip 64111

Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275032286 Cardiac Cin of Kansas City LLC Internal Medicine 111 W 10th St Ste 103, Kansas City, MO 64105-1700 2018-02-05
1811214174 Anil Manu Ranchord Internal Medicine 4401 Wornall Rd, Mahi, Suite 5603, Kansas City, MO 64111-3220 2010-04-27
1508035163 Adnan K Chhatriwalla Internal Medicine 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-5939 2008-02-27
1043497241 Jason B Lindsey Internal Medicine 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-5939 2008-01-30
1508088766 Anthony J Hart Internal Medicine 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-3201 2007-05-03
1619003324 Suzanne Jane Baron Internal Medicine 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111 2007-02-26
1730260456 Dmitri Victorovich Baklanov Internal Medicine 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-5939 2006-10-18
1871695858 Ashwani Mehta Internal Medicine 4000 Cambridge Street Ste G600, Kansas City, KS 66160-8501 2006-09-01
1740236710 Venkat R Pasnoori Internal Medicine 8919 Parallel Pkwy, Ste 580, Kansas City, KS 66112-1636 2006-05-25
1851345466 Willie E Lawrence Jr. Internal Medicine 6420 Prospect Ave, T-509, Kansas City, MO 64132-4147 2006-05-19
Find all providers in KANSAS CITY

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City KANSAS CITY
Zip Code 64111

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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