CKS CARE OF KS, LLC (NPI# 1073074126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073074126 |
| Entity Type | Organization |
| Organization Name | CKS CARE OF KS, LLC |
| Practice Address |
10650 Roe Ave Overland Park KS 66207-3907 |
| Mailing Address |
102 Woodmont Blvd Ste 350 Nashville TN 37205-2216 |
| Practice Telephone | 6153860064 |
| Mailing Telephone | 6153860064 |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | EDWARD LELAND HUTTON EADIE (DIRECTOR) |
| Authorized Official Telephone | 6157332064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
10650 ROE AVE |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66207-3907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679034722 | Oks Care of Ks, LLC | Orthopaedic Surgery | 10650 Roe Ave, Overland Park, KS 66207-3907 | 2019-03-29 |
| 1609483700 | Candid Kansas, P.a. | Dentist | 10650 Roe Ave, Overland Park, KS 66207-3907 | 2020-09-23 |
| 1588125645 | Sks Care of Ks, LLC | Orthopaedic Surgery | 10650 Roe Ave, Overland Park, KS 66207-3907 | 2019-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699301077 | Koeneman Psychological Services, LLC | Community/Behavioral Health | 5750 W. 95th St. Suite 220, Overland Park, KS 66207 | 2020-03-18 |
| 1104207091 | Michael O'bryan | Internal Medicine | 5100 Indian Creek Pkwy, Overland Park, KS 66207 | 2015-06-16 |
| 1134509243 | Milburn Wheatley Hobson | Obstetrics & Gynecology | Residence 5467 W. 85 Ter., Prairie Village, KS 66207 | 2015-06-03 |
| 1023267564 | Richard Noxon Barr | Ophthalmology | #20 Wycklow, Overland Park, KS 66207 | 2008-09-09 |
| 1063615425 | Richard Allen Morrison | Radiology | 9021 Delmer, Prairie Village, KS 66207 | 2007-06-06 |
| 1831301340 | Andrew Van Blarcom, Dds, Pa | Dentist | 5000 West 95th Street, Suite Number 290, Prairie Village, KS 66207 | 2007-05-04 |
| 1336270115 | Edward D. Dallam | Dentist | 5000 W 95th St Ste 300, Prairie Village, KS 66207 | 2007-03-07 |
| 1245379809 | Willa J Kozlowski | Counselor | 5350 W. 94th Terrrace, Suite 204, Prairie Village, KS 66207 | 2007-02-06 |
| 1407994726 | Pauls Optical Company Inc | Technician/Technologist | 5352 W 95th St, Prairie Village, KS 66207 | 2007-02-01 |
| 1154484301 | The Endodontic P.C. | Dentist | 5600 West 95th St #216, Overland Park, KS 66207 | 2006-12-19 |
| Find all providers in zip 66207 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225303563 | Shone Oscar Almeida | Internal Medicine | 5100 W 110th St Fl 2, Overland Park, KS 66211-1215 | 2012-03-20 |
| 1932369238 | Sherman M. Steinzeig | Internal Medicine | 6620 W 93rd St, Apt. A, Overland Park, KS 66212-1303 | 2008-06-11 |
| 1770684912 | Ronnie G. Smalling | Internal Medicine | 11025 Metcalf Avenue, Overland Park, KS 66210 | 2006-09-26 |
| 1316959091 | Edward J. Laughlin | Internal Medicine | 10787 Nall Ave., Suite 300, Overland Park, KS 66211-1372 | 2006-08-12 |
| 1689685471 | Shripad Roy Hegde | Internal Medicine | 10787 Nall Ave Ste 300, Overland Park, KS 66211-1372 | 2006-08-10 |
| 1104872746 | Thomas Baldwin | Internal Medicine | 12200 W 106th St Ste 320, Overland Park, KS 66215-2305 | 2006-05-25 |
| 1568413722 | Punit Goel | Internal Medicine | 5701 W 119th St Ste 430, Overland Park, KS 66209-3721 | 2006-05-13 |
| 1003237215 | Legacy Heart Care of Kansas City, LLC | Internal Medicine | 4550 W 109th St, Ste 230, Overland Park, KS 66211-1360 | 2013-12-16 |
| 1760736615 | Midwest Heart & Vascular Specialists, LLC | Internal Medicine | 5701 W 119th St Ste 430, Overland Park, KS 66209-3721 | 2012-10-30 |
| 1912235177 | Midwest Cardiology Specialists LLC | Internal Medicine | 5701 W 119th St, Suite 430, Overland Park, KS 66209-3721 | 2009-11-30 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66207 |
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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.