DR. ETHAN ANDREW HACKER MD NPI 1124557301

NPI Information

  • NPI: 1124557301
  • Provider Name: DR. ETHAN ANDREW HACKER, MD
  • Classification: Internal Medicine - 207RC0001X
  • Specialization: Clinical Cardiac Electrophysiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2790 CLAY EDWARDS DR STE 520570
    NORTH KANSAS CITY, MO
    ZIP 64116
  • Phone: (816) 221-6750

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NPI Details

DR. Ethan Andrew Hacker, MD is a clinical cardiac electrophysiology internal medicine in North Kansas City, MO with 9 years of experience. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. DR. Ethan Andrew Hacker, MD NPI is 1124557301. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2790 CLAY EDWARDS DR STE 520570
NORTH KANSAS CITY, MO
ZIP 64116-276
Phone: (816) 221-6750
Fax: (816) 221-7280

The NPI 1124557301 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/9/2017 and was last updated on 8/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine94-09160KANSASNo
2207RC0000XInternal MedicineCardiovascular Disease35503OKLAHOMANo
3207RC0001XInternal MedicineClinical Cardiac Electrophysiology2025032202MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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