MR. MATTHEW BLAIR WAY (NPI# 1174867998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174867998 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW BLAIR WAY |
| Credential | LAT,ATC |
| Practice Address |
10730 Nall Ave Suite 200 Overland Park KS 66211-1366 |
| Mailing Address |
3700 Clinton Pkwy Apartment 1505 Lawrence KS 66047-2199 |
| Practice Telephone | 9139459829 |
| Mailing Telephone | 3163052444 |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2012-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
24-00496 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639447188 | Matthew E Way | Pharmacist | 1010 Main St Ste 100, Buffalo, NY 14202-1102 | 2011-12-12 |
| 1841518008 | Matthew F. Way | Psychiatry & Neurology | 24 Nautilus Dr, Suite 2, Manahawkin, NJ 08050-2490 | 2010-05-12 |
| 1386613859 | Matthew Way | Emergency Medicine | 800 W Randol Mill Rd, Arlington, TX 76012-2504 | 2006-03-16 |
| Street Address |
10730 NALL AVE SUITE 200 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211-1366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851066 | Brian L Mccroskey | Surgery | 10730 Nall Ave, Ste 101, Overland Park, KS 66211-1242 | 2005-06-20 |
| 1114465457 | Elizabeth Bertschy | Nurse Practitioner | 10730 Nall Ave, Suite 101, Overland Park, KS 66211-1366 | 2017-02-07 |
| 1215489034 | Shannon Zolla | Specialist/Technologist | 10730 Nall Ave, Overland Park, KS 66211-1366 | 2016-10-27 |
| 1265816755 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 10730 Nall Ave, Suite 100, Overland Park, KS 66211-1366 | 2015-07-14 |
| 1225435464 | Ryan Sloop | Specialist/Technologist | 10730 Nall Ave, Suite 200, Overland Park, KS 66211-1366 | 2014-12-03 |
| 1285031476 | Briana Fugitt | Point of Service | 10730 Nall Ave, Suite 200, Overland Park, KS 66211-1366 | 2014-12-03 |
| 1336546555 | Suzanna Butz | Point of Service | 10730 Nall Ave, 200, Overland Park, KS 66211-1366 | 2014-12-03 |
| 1629319363 | Jennifer Dawn Sherrick | Nurse Practitioner | 10730 Nall Ave, Ste 101, Overland Park, KS 66211-1366 | 2013-03-05 |
| 1063758191 | Physicians Reference Laboratory LLC | Pathology | 10730 Nall Ave, Ste 100, Overland Park, KS 66211-1366 | 2012-12-18 |
| 1003161548 | Allyson Dibert Lenz | Nurse Practitioner | 10730 Nall Ave, Suite 200, Overland Park, KS 66211 | 2012-07-20 |
| 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 | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828781 | Kim R Adkins | Specialist/Technologist | 8806 Riley St, Overland Park, KS 66212-2054 | 2020-10-15 |
| 1033677935 | William Cameron Baker | Specialist/Technologist | 4710 W 139th Ter, Overland Park, KS 66224-3663 | 2019-03-09 |
| 1225508898 | Keaghan Michelle Shacklett | Specialist/Technologist | 13747 Cody St., Overland Park, KS 66221 | 2018-11-27 |
| 1457829327 | Emma Anne Corkill | Specialist/Technologist | 10700 Nall Ave, Overland Park, KS 66211-1206 | 2018-11-08 |
| 1083198261 | Josh Hardy | Specialist/Technologist | 8302 W 125th St, Overland Park, KS 66213-1400 | 2018-09-24 |
| 1497239834 | Krisha Kackley | Specialist/Technologist | 10790 Nall Ave, Overland Park, KS 66211-1206 | 2018-09-21 |
| 1679084578 | Kaycee Adair | Specialist/Technologist | 10730 Nall Ave Ste 200, Overland Park, KS 66211-1285 | 2017-10-18 |
| 1295259174 | Chelsea Leigh Nettle | Specialist/Technologist | 9111 Barton, Overland Park, KS 66214 | 2017-08-01 |
| 1083134506 | Devon Hudspeth | Specialist/Technologist | 12302 Mackey St, Overland Park, KS 66213-1431 | 2017-06-26 |
| 1225491301 | Randall Jackson | Specialist/Technologist | 9805 Bluejacket St, Overland Park, KS 66214-2347 | 2016-04-05 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66211 |
Please comment or provide details below to improve the information on MR. MATTHEW BLAIR WAY.
| 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.