PAIN AT FHO LLC (NPI# 1225673874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225673874 |
| Entity Type | Organization |
| Organization Name | PAIN AT FHO LLC |
| Practice Address |
700 W Central Ave Ste 206 El Dorado KS 67042-2186 |
| Practice Telephone | 3164525113 |
| Practice Fax Number | 3164525171 |
| Mailing Telephone | 3164525113 |
| Mailing Fax Number | 3164525171 |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |
| Authorized Official Name | GERARD LIBRODO (OWNER) |
| Authorized Official Telephone | 3164525113 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
| Street Address |
700 W CENTRAL AVE STE 206 |
| City | EL DORADO |
| State | KS |
| Zip Code | 67042-2186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427509751 | Medicine and Nephrology Clinic LLC | Internal Medicine | 700 W Central Ave Ste 206, El Dorado, KS 67042-2186 | 2016-10-21 |
| 1699308882 | Physical Therapy At Fho LLC | Physical Therapist | 700 W Central Ave Ste 206, El Dorado, KS 67042-2186 | 2020-02-17 |
| 1255984449 | Bridget Leann Howard | Nurse Practitioner | 700 W Central Ave Ste 206, El Dorado, KS 67042-2186 | 2019-07-17 |
| 1174037360 | Jordan Taylor Biel | Physician Assistant | 700 W Central Ave Ste 206, El Dorado, KS 67042-2186 | 2017-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821526104 | Nolan Ryan Andrews | Dentist | 535 S. Main Street, El Dorado, KS 67042 | 2017-05-31 |
| 1902262355 | Lisbeth Leiber | Nurse Practitioner | 1737 Se Hwy 54, El Dorado, KS 67042 | 2016-01-14 |
| 1992180202 | Jennifer Clausing | Pharmacist | 205 N. Vine, El Dorado, KS 67042 | 2015-07-28 |
| 1053706655 | Aubrey Shea Ralston | General Practice | 700 W Central Ave Ste 205, El Dorado, KS 67042 | 2015-03-31 |
| 1316341027 | William L Wade | Nurse Practitioner | 1737 Se Highway 54, Eldorado, KS 67042 | 2014-10-09 |
| 1205070612 | Gabriel Omar De La Garza | Otolaryngology | 700 W Central Ave Suite 200, Eldorado, KS 67042 | 2009-04-29 |
| 1962608893 | South Central Mental Health Counseling Center Inc | Social Worker | 120 S Gordy, 3, El Dorado, KS 67042 | 2007-06-26 |
| 1699987958 | Grene Vision Group LLC | Ophthalmology | 1400 W Central, El Dorado, KS 67042 | 2007-05-07 |
| 1548388598 | Richard Alan Burton | Dentist | 310 Oil Hill Road, El Dorado, KS 67042 | 2007-03-27 |
| 1710002472 | Tender Care Pediatrics Pa | Pediatrics | 700 W. Central Ave, Ste 210, El Dorado, KS 67042 | 2007-03-20 |
| Find all providers in zip 67042 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1205884889 | John M Ciccarelli | Orthopaedic Surgery | 5525 W 119th St, Suite 210, Overland Park, KS 66209-3718 | 2006-05-05 |
| 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 |
| 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.