CHILDREN'S MERCY-LEAWOOD PEDIATRICS INC (NPI# 1033763461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033763461 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S MERCY-LEAWOOD PEDIATRICS INC |
| Practice Address |
5401 College Blvd Ste 101 Leawood KS 66211-1617 |
| Mailing Address |
2401 Gillham Rd Provider Enrollment Dept Kansas City MO 64108-4619 |
| Practice Telephone | 9138253627 |
| Mailing Telephone | 8167015200 |
| Mailing Fax Number | 8163029939 |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | ROBERT D FINUF II (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 8167015200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
5401 COLLEGE BLVD STE 101 |
| City | LEAWOOD |
| State | KS |
| Zip Code | 66211-1617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| Find all providers in zip 66211 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700184058 | Leawood Pediatrics, LLC | Pediatrics | 5401 College Blvd, Suite 102, Leawood, KS 66211-1923 | 2011-03-10 |
| 1053576074 | Sarah A Rastogi | Pediatrics | 5401 College Blvd, Ste 100, Leawood, KS 66211-1923 | 2008-07-21 |
| 1073722799 | Malana K. Kuiper | Pediatrics | 5401 College Blvd, Leawood, KS 66211-1923 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356941306 | Heartland Medical Clinic, Inc | Pediatrics | 1803 W 6th St, Lawrence, KS 66044-1710 | 2020-10-29 |
| 1083239412 | K S Pediatrics LLC | Pediatrics | 6505 E Central Ave Ste 183, Wichita, KS 67206-1924 | 2020-06-11 |
| 1104484245 | Children's Mercy-shawnee Mission Pediatrics, Inc | Pediatrics | 7450 Kessler Ln Ste 105, Merriam, KS 66204-2361 | 2019-06-04 |
| 1184281131 | Kansas Pediatric Neurology Center LLC | Pediatrics | 10111 E 21st St N Ste 405, Wichita, KS 67206-3508 | 2019-05-24 |
| 1992239115 | Tomica Dawn Blocker | Pediatrics | Cottonwood Pediatrics, Pa, 700 Medical Center Drive, Ste 150, Newton, KS 67114-9015 | 2017-04-13 |
| 1811438013 | Lauren Hughes | Pediatrics | 2870 W 47th Ave, Kansas City, KS 66103-3243 | 2017-03-20 |
| 1740639509 | Dan Albert Kelly | Pediatrics | 4604 Sw Crenshaw Dr, Topeka, KS 66610-1656 | 2016-06-11 |
| 1104280080 | Cody Jorgensen | Pediatrics | 7846 Garnett St, Lenexa, KS 66214-1417 | 2016-04-07 |
| 1245694181 | Alicia Christina Wolfe | Pediatrics | 12541 Foster St Ste 260, Overland Park, KS 66213-2301 | 2016-04-06 |
| 1033592795 | Kubra Melike Bozkanat | Pediatrics | University of Kansas Hospital Pediatrics, 3901 Rainbow Blvd. M/s 4004, Kansas City, KS 66160-0001 | 2015-06-30 |
| 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.