DOUGLAS S. ANDERSON (NPI# 1063444990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063444990 |
| Entity Type | Individual |
| Full Name | DOUGLAS S. ANDERSON |
| Credential | M.D. |
| Practice Address |
10787 Nall Ave Suite 310 Overland Park KS 66211-1375 |
| Practice Telephone | 9139456900 |
| Practice Fax Number | 9139456970 |
| Mailing Telephone | 9139456900 |
| Mailing Fax Number | 9139456970 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2014-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0422138 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100114280D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497183396 | Douglas Anderson | Occupational Therapy Assistant | 234 Carney St, Twin Falls, ID 83301-5010 | 2013-10-31 |
| 1639417983 | Douglas Alan Anderson | Internal Medicine | 11942 N 95th St, Scottsdale, AZ 85260-7133 | 2013-01-22 |
| 1184900292 | Douglas M Anderson | Pharmacist | 13 Lafayette St, Saco, ME 04072-2022 | 2011-11-02 |
| 1467667741 | Douglas M Anderson | Pharmacist | 4510 Jubilee Ct, Powder Springs, GA 30127-4946 | 2007-05-11 |
| 1972718310 | Douglas W Anderson | Dentist | 18160 Cottonwood Rd, Pmb 258, Sunriver, OR 97707 | 2007-05-11 |
| 1821157918 | Douglas M Anderson | Dentist | 2651 W South Jordan Pkwy Ste 201, South Jordan, UT 84095-8966 | 2006-12-06 |
| 1568565109 | Douglas M Anderson | Social Worker | 701 Richmond Ave, Houston, TX 77006-5511 | 2006-09-07 |
| 1699788307 | Douglas A Anderson | Chiropractor | 12510 W 62nd Terrace, Ste #101, Shawnee, KS 66216 | 2006-08-14 |
| 1477554095 | Douglas Calvin Anderson Jr. | Pharmacist | 1712a E Broad Ave, East Albany Medical Center, Albany, GA 31705-2611 | 2005-08-04 |
| 1750381851 | Douglas L Anderson | Psychologist | 2109 S Norton Ave, Sioux Falls, SD 57105-3730 | 2005-07-29 |
| Street Address |
10787 NALL AVE SUITE 310 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211-1375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659370161 | Christa Ruble Balanoff | Surgery | 10787 Nall Ave, Suite 220, Overland Park, KS 66211-1375 | 2005-07-18 |
| 1629510326 | College Park Endoscopy Center, LLC | Clinic/Center | 10787 Nall Ave, Suite 100, Overland Park, KS 66211-1375 | 2016-11-11 |
| 1689003345 | Holly C Bachman | Physician Assistant | 10787 Nall Ave, Suite 220, Overland Park, KS 66211-1375 | 2013-11-04 |
| 1063847812 | Jayhawk Primary Care Inc | Internal Medicine | 10787 Nall Ave, Ste 310, Overland Park, KS 66211-1375 | 2013-09-12 |
| 1770918526 | Monica Davis Pfeiffer | Nurse Practitioner | 10787 Nall Ave, Ste 310, Overland Park, KS 66211-1375 | 2013-09-12 |
| 1013271410 | Kenai Dialysis LLC | Clinic/Center | 10787 Nall Ave, Ste 130, Overland Park, KS 66211-1375 | 2012-06-29 |
| 1801155486 | Renuva Health LLC | Chiropractor | 10787 Nall Ave, Suite 110, Overland Park, KS 66211-1375 | 2012-05-16 |
| 1164781795 | Michael Green | Chiropractor | 10787 Nall Ave, Suite 110, Overland Park, KS 66211-1375 | 2012-05-16 |
| 1033344122 | Kathryn Timm | Nurse Practitioner | 10787 Nall Ave, Suite 200, Overland Park, KS 66211-1375 | 2009-05-19 |
| 1982845970 | Jayhawk Primary Care Inc | Internal Medicine | 10787 Nall Ave, Ste. 310, Overland Park, KS 66211-0000 | 2009-03-20 |
| Find all providers in the same location | ||||
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357166 | Spira Care, LLC | Family Medicine | 7341 W 133rd St, Overland Park, KS 66213-4750 | 2020-08-21 |
| 1730600750 | True Health and Wellness, LLC | Family Medicine | 11879 W. 112th Street, Suite 100, Overland Park, KS 66210 | 2017-06-29 |
| 1831623131 | Katherine Rose Mcdaniel | Family Medicine | 7381 W 133rd St Ste 100, Overland Park, KS 66213-4770 | 2017-04-13 |
| 1346627049 | Caroline Lucille Martin | Family Medicine | 11725 W 112th St # 101, Overland Park, KS 66210-2761 | 2015-05-01 |
| 1164809380 | Jessica Richter | Family Medicine | 10100 W 119th St Ste 150, Overland Park, KS 66213 | 2015-04-27 |
| 1508278367 | Elizabeth Brett Daily | Family Medicine | 4401 W 109th St Ste 200, Overland Park, KS 66211-1303 | 2014-05-28 |
| 1831538941 | Steven M. Wien | Family Medicine | 9314 W 82nd St, Overland Park, KS 66204-3218 | 2013-06-21 |
| 1043552474 | Alan Mark Oliver | Family Medicine | 13849 Hadley St, Overland Park, KS 66223-1320 | 2013-03-24 |
| 1225384001 | Lloyd Bernard Bledsoe | Family Medicine | 10150 Antioch Rd, Overland Park, KS 66212-4285 | 2012-07-30 |
| 1194000570 | Phoenix Healthcare Clinic | Family Medicine | 11960 Quivira Road, Suite #100, Overland Park, KS 66213 | 2011-10-17 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66211 |
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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.