Internal Medicine, Clinical Cardiac Electrophysiology
Dr. ETHAN HACKER MD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1124557301 · enumerated 2017-06-09 · record updated 2025-08-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 2800 CLAY EDWARDS DRIVE, MEDICAL STAFF SERVICES, NORTH KANSAS CITY, MO, 64116 (816) 691-1655 Google Maps Apple Maps OpenStreetMap
- Practice location 2790 CLAY EDWARDS DR STE 520570, NORTH KANSAS CITY, MO, 64116-3276 (816) 221-6750 Fax (816) 221-7280 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X · License 94-09160 KS
- Internal Medicine, Cardiovascular Disease 207RC0000X · License 35503 OK
- Internal Medicine, Clinical Cardiac Electrophysiology 207RC0001X · Primary · License 2025032202 MO
In this directory
MO Clay County North Kansas City Internal Medicine, Clinical Cardiac Electrophysiology
Locations and evidence
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Practice location
NORTH KANSAS CITY, MO, 641163276
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.