NPI 1124557301 · live from the CMS NPI Registry
Ethan Andrew Hacker, MD
Internal Medicine, Clinical Cardiac Electrophysiology in North Kansas City, MO. National Provider Identifier 1124557301, active.
NPI record
| NPI | 1124557301 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Clinical Cardiac Electrophysiology 207RC0001X |
| Practice location | 2790 Clay Edwards Dr Ste 520570, North Kansas City, MO 64116 |
| Practice phone | 816-221-6750 |
| Mailing address | 2800 Clay Edwards Drive, Medical Staff Services, North Kansas City, MO 64116 |
| Enumerated | June 9, 2017 |
| Last updated | August 22, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 94-09160 (KS) |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 35503 (OK) |
| Internal Medicine, Clinical Cardiac Electrophysiology primary | 207RC0001X | 2025032202 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.