JOHN M CICCARELLI


Address: 5525 W 119th St, Suite 210, Overland Park, KS 66209-3718
Phone: 9133222700

JOHN M CICCARELLI (NPI# 1205884889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205884889
Entity Type Individual
Full Name JOHN M CICCARELLI
Credential M.D.
Practice Address 5525 W 119th St
Suite 210
Overland Park
KS 66209-3718
Practice Telephone 9133222700
Practice Fax Number 9133227890
Mailing Telephone 9133222700
Mailing Fax Number 9133227890
Enumeration Date 2006-05-05
Last Update Date 2009-05-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XS0117X Orthopaedic Surgery
Specialization: Orthopaedic Surgery of the Spine
04-30147 KS Allopathic & Osteopathic Physicians

Office Location

Street Address 5525 W 119TH ST
SUITE 210
City OVERLAND PARK
State KS
Zip Code 66209-3718

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497751416 Brenda Lofton Specialist 5525 W 119th St, Suite 200, Overland Park, KS 66209-3724 2005-06-23
1215388632 Motus Biologics and Sports Medicine LLC Clinic/Center 5525 W 119th St, Ste 250, Overland Park, KS 66209-3724 2016-06-27
1346615846 Julie Biermann Nurse Practitioner 5525 W 119th St, Suite 200, Overland Park, KS 66209-3724 2015-12-09
1013309343 Laboratory Corporation of America Holdings Clinical Medical Laboratory 5525 W 119th St, Suite 100, Overland Park, KS 66209-3724 2015-02-24
1750706172 Melissa Anne Calahan Nurse Practitioner 5525 W 119th St, 200, Overland Park, KS 66209-3724 2014-02-21
1952734741 Midwest Physician Services, LLC Obstetrics & Gynecology 5525 W 119th St, Suite 200, Overland Park, KS 66209-3724 2013-08-15
1972701019 Leslie A Michaud Specialist 5525 W 119th St, Suite 250, Overland Park, KS 66209-3724 2007-07-10
1295957124 Amanda Nicole Healy Obstetrics & Gynecology 5525 W 119th St, Ste 200, Overland Park, KS 66209-3724 2007-05-02
1932272184 Charlene Jean Ludwig Nurse Practitioner 5525 W 119th St, Suite 220, Overland Park, KS 66209-3724 2006-11-16
1740216522 Derek W Barnard Physician Assistant 5525 W 119th St, Suite 210, Overland Park, KS 66209-3718 2006-06-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265900286 Kansas Wellness Associates LLC Family Medicine 4300 W 133rd Street, Suite 200, Leawood, KS 66209 2018-11-07
1740781871 Courtney Collins Physical Therapy Assistant 6830 W. 121st. Ct, Overland Park, KS 66209 2018-02-23
1295246015 Meredith Meyer Bell Nurse Practitioner 5064 W 130th Terrace, Leawood, KS 66209 2017-10-19
1740712223 Margaret Alice Luckert Registered Nurse 5701 W 119th Street Suite 220, Overland Park, KS 66209 2017-04-03
1609311133 Kansas City Community Hospital, LLC General Acute Care Hospital 13200 State Line Road, Leawood, KS 66209 2016-12-19
1316492499 Christy Vopat Occupational Therapist 4952 W. 129 Th Terr, Leawood, KS 66209 2016-08-18
1861846594 Paige Aberasturi Penick Nutritionist 6709 W 119th St # 207, Overland Park, KS 66209 2016-04-19
1568827905 Eating Disorder Treatment Associates, LLC Clinic/Center 12140 Nall Avenue, Suite 315, Overland Park, KS 66209 2015-12-30
1689056483 Michael Hauber Physical Therapist 12728 State Line Rd, Leawood, KS 66209 2015-06-29
1033597000 Brooke J Heppner Mft Marriage & Family Therapist 6711 W. 121st Street, Suite 101, Overland Park, KS 66209 2015-05-11
Find all providers in zip 66209

Taxonomy Information

Taxonomy Code 207XS0117X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Orthopaedic Surgery of the Spine

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942268289 Premier Spine Care, P.a. Orthopaedic Surgery 5525 W 119th St, Suite 210, Overland Park, KS 66209-3718 2006-05-03
1114985355 Adrian P Jackson Orthopaedic Surgery 5525 W 119th St, Suite 210, Overland Park, KS 66209-3718 2006-05-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285616649 Alan Moskowitz Orthopaedic Surgery 7550 W Village Cir, Ste. 1, Wichita, KS 67205-9363 2005-11-18
1811979271 Mark Camden Whitaker Orthopaedic Surgery 10100 E Shannon Woods St, Suite 100, Wichita, KS 67226-4104 2005-11-18
1932495769 Joshua Thomas Bunch Orthopaedic Surgery 3901 Rainbow Blvd # Ms 3017, Kansas City, KS 66160-1902 2011-06-20
1982912622 Max Franco De Carvalho Orthopaedic Surgery 2500 Canterbury Dr, Hays, KS 67601-2247 2010-09-15
1841432937 Theodore Damian Koreckij Orthopaedic Surgery 3651 College Blvd, Leawood, KS 66211-1910 2009-04-03
1639335490 Steven Thomas Ericksen Orthopaedic Surgery 7550 West Village Circle, Ste. 1, Wichita, KS 67205 2008-07-31
1114954740 Charles D Pence Orthopaedic Surgery 1947 Founders St, Wichita, KS 67206-3548 2006-06-27
1487626982 Christopher C Kain Orthopaedic Surgery 2101 N Waldron St, Hutchinson, KS 67502-1131 2006-02-07
1043290679 Kris Lewonowski Orthopaedic Surgery 2600 N Woodlawn Blvd, Wichita, KS 67220-2729 2006-01-19

Competitor

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City OVERLAND PARK
Zip Code 66209

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Dataset Information

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.

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