Individual provider · Type 1 NPI

Ethan Andrew Hacker, MD

Clinical Cardiac Electrophysiology Physician · North Kansas City, MO

NPI number 1124557301 Active

Practice location

2790 Clay Edwards Dr Ste 520570
North Kansas City, MO 64116-3276

Fax (816) 221-7280

Mailing address

2800 Clay Edwards Drive, Medical Staff Services
North Kansas City, MO 64116

Other practice locations

  • 800 Stanton L Young Blvd, Oklahoma City, OK 73104-5018 · (405) 271-4742
  • 3901 Rainbow Blvd # Ms 2027, Kansas City, KS 66160-8500 · (913) 588-3974

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X94-09160 (KS)
Cardiovascular Disease Physician 207RC0000X35503 (OK)
Clinical Cardiac Electrophysiology Physician Primary 207RC0001X2025032202 (MO)

Clinical Cardiac Electrophysiology Physician: 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.

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About NPI 1124557301

Ethan Andrew Hacker, MD's National Provider Identifier is 1124557301, issued on Jun 9, 2017. The primary taxonomy on file is Clinical Cardiac Electrophysiology Physician (207RC0001X), and the practice location is in North Kansas City, MO. The record was last updated on Aug 22, 2025.