SOUTHEAST KANSAS ORTHOPEDICS & SPORTS MEDICINE (NPI# 1003809161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003809161 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST KANSAS ORTHOPEDICS & SPORTS MEDICINE |
| Practice Address |
321 East Main Chanute KS 66720 |
| Mailing Address |
Po Box 623 321 East Main Chanute KS 66720 |
| Practice Telephone | 6204310887 |
| Practice Fax Number | 6204310816 |
| Mailing Telephone | 6204310887 |
| Mailing Fax Number | 6204310816 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DEBORAH SUE KING (CORP OFFICER OWNER OFFICE MANAGER) |
| Authorized Official Telephone | 6204310887 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 207X00000X | Orthopaedic Surgery | 0520120 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
321 EAST MAIN |
| City | CHANUTE |
| State | KS |
| Zip Code | 66720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548813967 | Clinical Colleagues Ks Pa | Anesthesiology | 629 Plummer Ave, Chanute, KS 66720 | 2019-07-24 |
| 1912314386 | Matthew M Bogle | Nurse Practitioner | 2613 S Santa Fe Ave, Chanute, KS 66720 | 2014-07-17 |
| 1386057792 | Kenneth Eugene Wood Jr. | Contractor | 215 N Washington Ave, Chanute, KS 66720 | 2014-06-04 |
| 1578825006 | Jillina L Frazell | Registered Nurse | 2613 South Santa Fe, Chanute, KS 66720 | 2012-06-11 |
| 1871897629 | Katie Maria Holtzman | Physical Therapist | 629 S. Plummer, Chanute, KS 66720 | 2011-01-07 |
| 1588716963 | Amy M White Blakesley | Psychologist | 402 S Kansas, Chanute, KS 66720 | 2007-01-17 |
| 1669565610 | Pharmacy Mangagement, LLC | Pharmacy | 1720 S Santa Fe Ave, Box 126, Chanute, KS 66720 | 2006-10-02 |
| 1710995519 | William D Vietti | Optometrist | 32 W Main, Chanute, KS 66720 | 2006-08-04 |
| 1568408821 | Timothy D. Weilert | Chiropractor | 720 S. Santa Fe, Chanute, KS 66720 | 2006-06-22 |
| 1699743989 | Jack L Lowe | Optometrist | 15 N Highland, Chanute, KS 66720 | 2006-03-10 |
| Find all providers in zip 66720 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275056400 | Benedictine College | Orthopaedic Surgery | 1020 N 2nd St Rm 103, Atchison, KS 66002-1402 | 2017-07-19 |
| 1114152121 | Firas I. Kawtharani | Orthopaedic Surgery | 305 W 15th St Ste 101, Liberal, KS 67901 | 2009-05-19 |
| 1306982236 | Kansas University Physicians Inc | Orthopaedic Surgery | G022 Robinson Hall, Mail Stop 3017 3901 Rainbow Blvd, Kansas City, KS 66160 | 2007-01-29 |
| 1932281714 | Christopher Cullen Eckland | Orthopaedic Surgery | 4940 W 137th St Ste B, Leawood, KS 66224-3633 | 2006-10-20 |
| 1972683548 | John G Yost Jr. | Orthopaedic Surgery | 307 N Hospital Dr Ste 3, Girard, KS 66743-2047 | 2006-10-17 |
| 1447872346 | Elite Spine Care of Kansas City, LLC | Orthopaedic Surgery | 4911 W 87th Ter, Prairie Village, KS 66207-2271 | 2020-05-13 |
| 1952947939 | Providence Medical Group | Orthopaedic Surgery | 8919 Parallel Pkwy Ste 555, Kansas City, KS 66112-3628 | 2019-11-25 |
| 1558881433 | Nathan Daniel Kasting | Orthopaedic Surgery | 400 S Santa Fe Ave, Salina, KS 67401-4144 | 2017-06-22 |
| 1861810137 | Brittany Joie Moore | Orthopaedic Surgery | 10777 Nall Ave Ste 300, Overland Park, KS 66211-1330 | 2014-04-02 |
| 1922358902 | Menorah Medical Group, LLC | Orthopaedic Surgery | 5701 W 119th St, Suite 308, Overland Park, KS 66209-3721 | 2012-09-17 |
| Find all providers with the same taxonomy | ||||
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| 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.