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).
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 |
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 |
Street Address |
5525 W 119TH ST SUITE 210 |
City | OVERLAND PARK |
State | KS |
Zip Code | 66209-3718 |
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 |
Find all providers in the same location |
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 Code | 207XS0117X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Surgery of the Spine |
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. |
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 |
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 |
City | OVERLAND PARK |
Zip Code | 66209 |
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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.