EDWARD PHILIP GUTEK (NPI# 1174522445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174522445 |
Entity Type | Individual |
Full Name | EDWARD PHILIP GUTEK |
Credential | M.D. |
Practice Address |
11501 Granada Ln Leawood KS 66211-1454 |
Practice Telephone | 9134513722 |
Practice Fax Number | 9134515000 |
Mailing Telephone | 9134513722 |
Mailing Fax Number | 9134515000 |
Enumeration Date | 2005-07-19 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
04-18115 | KS | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | BLUE CROSS BLUE SHIELD | 05177012 | 01 |
Street Address |
11501 GRANADA LN |
City | LEAWOOD |
State | KS |
Zip Code | 66211-1454 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366441966 | Associated Plastic Surgeons PC | Specialist | 11501 Granada Ln, Leawood, KS 66211-1454 | 2005-07-18 |
1184943698 | Kelly Melinda Morris | Physical Therapist | 11501 Granada Ln, Leawood, KS 66211-1454 | 2010-05-24 |
1578608816 | Janice K Taylor | Occupational Therapist | 11501 Granada Ln, Leawood, KS 66211-1454 | 2007-02-21 |
1427190677 | Stephanie R. Wuertz | Physical Therapist | 11501 Granada Ln, Leawood, KS 66211-1454 | 2007-02-13 |
1518909944 | Integrative Therapy Concepts, LLC | Clinic/Center | 11501 Granada Ln, Suite 100, Leawood, KS 66211-1454 | 2006-06-11 |
1962401232 | Sheryl Young | Surgery | 11501 Granada Ln, Leawood, KS 66211-1454 | 2005-07-19 |
1659370922 | Jon Rast | Surgery | 11501 Granada Ln, Leawood, KS 66211-1454 | 2005-07-19 |
1225037732 | Joseph V. Cannova Jr. | Surgery | 11501 Granada Ln, Leawood, KS 66211-1454 | 2005-07-18 |
1750380267 | Mark Mcclung | Surgery | 11501 Granada Ln, Leawood, KS 66211-1454 | 2005-07-18 |
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 | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396802898 | Eric Swanson | Surgery | 11413 Ash, Leawood, KS 66211 | 2007-01-03 |
1235184888 | Plastic Surgery, P.a. | Surgery | 4701 College Blvd, Suite 206, Leawood, KS 66211-1603 | 2006-05-23 |
1609436815 | Kalila Anne Steen | Surgery | 4801 W 135th St, Leawood, KS 66224-8901 | 2019-06-19 |
1043570823 | Elizabeth Anne Killion | Surgery | 4801 W 135th St, Leawood, KS 66224 | 2012-05-25 |
1962401232 | Sheryl Young | Surgery | 11501 Granada Ln, Leawood, KS 66211-1454 | 2005-07-19 |
1659370922 | Jon Rast | Surgery | 11501 Granada Ln, Leawood, KS 66211-1454 | 2005-07-19 |
1225037732 | Joseph V. Cannova Jr. | Surgery | 11501 Granada Ln, Leawood, KS 66211-1454 | 2005-07-18 |
1750380267 | Mark Mcclung | Surgery | 11501 Granada Ln, Leawood, KS 66211-1454 | 2005-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598724031 | Nicky R Wheeler | Surgery | 1700 Waterfront Parkway, Bldg 200, Wichita, KS 67206 | 2006-03-22 |
1598748055 | Mona A Rane | Surgery | 109 E. 11th Street, Liberal, KS 67901-2762 | 2005-11-29 |
1760478713 | Joseph T Poggi | Surgery | 3510 N. Ridge Road, Suite 100, Wichita, KS 67205-1210 | 2005-09-26 |
1891247326 | Lawrence Physicians LLC | Surgery | 1130 W 4th St, Suite 3200, Lawrence, KS 66044-1328 | 2016-11-01 |
1538403175 | Singhal Plastic Surgery Pa | Surgery | 5250 W 94th Ter, Prairie Village, KS 66207-2502 | 2012-11-20 |
1750642450 | Heather Lorita Pena | Surgery | 823 Sw Mulvane St, Ste 200, Topeka, KS 66606-1764 | 2012-05-30 |
1578839940 | Anita Scarlett Aldrich | Surgery | 1130 W 4th St Ste 3202, Lawrence, KS 66044 | 2012-03-29 |
1457689770 | Center for Plastic Surgery, Pa | Surgery | 631 Sw Horne St, Suite 400, Topeka, KS 66606-1694 | 2009-11-24 |
1558516468 | Hays Medical Center, Inc | Surgery | 2500 Canterbury Dr, Suite 206, Hays, KS 67601-2247 | 2008-11-19 |
1528225166 | Mitchell Flurry | Surgery | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2008-05-21 |
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.