DR. SCOTT G WILLSON (NPI# 1013136860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013136860 |
| Entity Type | Individual |
| Full Name | DR. SCOTT G WILLSON |
| Credential | MD |
| Practice Address |
11879 W 112th St Suite 300 Overland Park KS 66210-2725 |
| Mailing Address |
11879 W 112th St Suite 300 Overland Park KS 66210 |
| Practice Telephone | 9136533614 |
| Practice Fax Number | 9138391437 |
| Mailing Telephone | 9136533614 |
| Mailing Fax Number | 9138391437 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2013-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 04-32856 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
11879 W 112TH ST SUITE 300 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66210-2725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275676371 | Shirin Moshiri Gulledge | Chiropractor | 11879 W 112th St, Ste 100, Overland Park, KS 66210-2725 | 2007-02-15 |
| 1811314834 | True Health Pa | Chiropractor | 11879 W 112th St, Suite 100, Overland Park, KS 66210 | 2014-03-27 |
| 1518207828 | Katie Elizabeth Shipley | Physical Therapist | 11879 W 112th St, #100, Overland Park, KS 66210-2725 | 2013-02-22 |
| 1568735173 | Gulledge Family Wellness P.a. | Chiropractor | 11879 W 112th St, Suite 100, Overland Park, KS 66210-2725 | 2012-02-13 |
| 1205165958 | Gulledge Family Wellness Pa | Chiropractor | 11879 W 112th St, Suite 100, Overland Park, KS 66210-2725 | 2009-12-09 |
| 1730413204 | Gulledge Family Wellness, LLC | Clinic/Center | 11879 W 112th St, Suite 100, Overland Park, KS 66210-2725 | 2009-09-30 |
| 1336372887 | Kyle Vincent Gulledge | Chiropractor | 11879 W 112th St, Suite 100, Overland Park, KS 66210-2725 | 2009-09-01 |
| 1992938369 | David Lauchlin Gulledge | Chiropractor | 11879 W 112th St, Suite 100, Overland Park, KS 66210-2725 | 2009-09-01 |
| 1629211818 | Inner Wisdom Healing Center | Chiropractor | 11879 W 112th St, Overland Park, KS 66210-2725 | 2009-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
| 1417591165 | Refractive Cataract Center, LLC | Clinic/Center | 8300 College Boulevard, Suite 201, Overland Park, KS 66210 | 2019-11-05 |
| 1336705730 | Above & Beyond In-home Kansas, LLC | In Home Supportive Care | 7300 W. 110th Street, Suite 700, Overland Park, KS 66210 | 2019-05-13 |
| 1528531720 | Sarah J Sievers | Acupuncturist | 4800 W. 135th St. Suite 200, Leawood, Ks 66224, KS 66210 | 2019-01-10 |
| 1790286326 | Sarah E Hamilton | Physician Assistant | 8490 College Boulevard, Overland, KS 66210 | 2018-02-28 |
| 1730600750 | True Health and Wellness, LLC | Family Medicine | 11879 W. 112th Street, Suite 100, Overland Park, KS 66210 | 2017-06-29 |
| 1639610603 | Kayla Jolene Lawrance | Advanced Practice Midwife | 9202 W. 110th St., Building 36, Overland Park, KS 66210 | 2017-03-10 |
| 1972041952 | Ccrc of Cedar Rapids, LLC | Skilled Nursing Facility | 11827 W 112th St, Suite 103, Overland Park, KS 66210 | 2017-02-09 |
| 1396122008 | Laurie Jean Sansom | Counselor | 8575 W. 110th, Ste. 218, Overland Park, KS 66210 | 2015-05-01 |
| 1790181063 | Susan J. Anderson, Psy.d., Pa | Psychologist | 8500 W. 100th Street, 540, Overland Park, KS 66210 | 2014-11-13 |
| Find all providers in zip 66210 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
| 1508360405 | Landmark Medical of Kansas Pa | General Practice | 5350 College Blvd Ste 122, Overland Park, KS 66211-1633 | 2018-03-23 |
| 1316463359 | Medexpress Primary Care Kansas, P.a. | General Practice | 6860 W 115th St, Overland Park, KS 66211-2457 | 2017-08-22 |
| 1134460165 | Living Well Medical Center | General Practice | 9150 Glenwood St, Overland Park, KS 66212-1364 | 2013-03-15 |
| 1790962884 | Tseng-kuo Shiao | General Practice | 8600 W 95th St, Ste. 210, Overland Park, KS 66212-3201 | 2008-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003437419 | Lewis H. Roht | General Practice | 12512 High Drive, Leawood, KS 66209-1341 | 2020-04-27 |
| 1902342892 | Drsalliance LLC | General Practice | 13968 Santa Fe Trail Dr, Lenexa, KS 66215-3382 | 2017-01-16 |
| 1114470010 | St Catherine Hospital | General Practice | 2051 E Mary St, Garden City, KS 67846-3617 | 2016-07-27 |
| 1053706655 | Aubrey Shea Ralston | General Practice | 700 W Central Ave Ste 205, El Dorado, KS 67042 | 2015-03-31 |
| 1245631100 | James Berry | General Practice | 10821 S Whitetail Ln, Olathe, KS 66061-9395 | 2014-09-10 |
| 1427470087 | Chs Health Services, LLC | General Practice | 2000 Nw Us Highway 24, Topeka, KS 66618-1445 | 2014-01-15 |
| 1942556824 | Leland Ray Kaufman | General Practice | 1500 E. 10th, Bldg B/2, Winfield, KS 67156 | 2012-07-30 |
| 1417211665 | James M Stanford | General Practice | 202 S Frisco St, Coldwater, KS 67029-9101 | 2012-07-02 |
| 1639436520 | James Philip Hostetter | General Practice | 3811 Sw Wood Valley Drive, Topeka, KS 66610-1124 | 2012-04-16 |
| 1407144058 | Healing Waters Wichita Lc | General Practice | 2000 N Rock Rd, Suite 100, Wichita, KS 67206-1201 | 2011-07-18 |
| Find all providers with the same taxonomy | ||||
| City | OVERLAND PARK |
| Zip Code | 66210 |
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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.