DR. O. KEITH ENLOW (NPI# 1275508723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275508723 |
| Entity Type | Individual |
| Full Name | DR. O. KEITH ENLOW |
| Credential | D.O. |
| Practice Address |
824 W Frontier Ln Olathe KS 66061-7216 |
| Practice Telephone | 9137647060 |
| Practice Fax Number | 9137648059 |
| Mailing Telephone | 9137647060 |
| Mailing Fax Number | 9137648059 |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2008-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
0522106 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100230340A | 05 | |
| MO | BLUE SHIELD | 13360014 | 01 |
| Street Address |
824 W FRONTIER LN |
| City | OLATHE |
| State | KS |
| Zip Code | 66061-7216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629463096 | Shawna Patch | Pediatrics | 824 W Frontier Ln, Olathe, KS 66061-7216 | 2015-04-02 |
| 1033172150 | Preferred Pediatrics | Pediatrics | 824 W Frontier Ln, Olathe, KS 66061-7216 | 2006-04-10 |
| 1689640104 | Amy L Voelker | Pediatrics | 824 W Frontier Ln, Olathe, KS 66061-7216 | 2006-02-24 |
| 1366417453 | F. Lance Miller | Pediatrics | 824 W Frontier Ln, Olathe, KS 66061-7216 | 2006-02-22 |
| 1578538021 | Stuart G Shanker | Pediatrics | 824 W Frontier Ln, Olathe, KS 66061-7216 | 2006-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192967 | Sarah L Gilliland | Registered Nurse | Olathe School District, Central Elementary, 305 E. Cedar St., Olathe, KS 66061 | 2020-04-16 |
| 1518517382 | Olathe West Dentistry, Pa | Dentist | 2180 West Dartmouth Street, Olathe, KS 66061 | 2019-09-13 |
| 1992354815 | Terry Graves | Technician | 11640 S. Pine St., Olathe, KS 66061 | 2019-09-04 |
| 1154975746 | Nydia Smith | Dietitian, Registered | 11875 W Sunset Drive Suite 300, Olathe, KS 66061 | 2019-07-31 |
| 1598235160 | John Toplikar | Specialist/Technologist | 507 E Spruce St, Olathe, KS 66061 | 2018-11-27 |
| 1639679103 | A Friend In Need Home Care, LLC | Home Health | 1033 E Pineview St, Olathe, KS 66061 | 2018-02-20 |
| 1023529468 | Molly Marie Hulsen | Nurse Practitioner | 20805 W. 151st Street, The Doctors Bldg #2, Ste. 400, Olathe, KS 66061 | 2017-10-12 |
| 1093230682 | Salakchit Lyfoung | Physician Assistant | 225 S Normandy St, Olathe, KS 66061 | 2017-08-04 |
| 1376063289 | Hana Tahaei | Dietitian, Registered | 20333 W. 151st Street, Olathe, KS 66061 | 2017-06-21 |
| 1396273447 | Cosenza Maria Bryson | Counselor | 21344 W. 153rd Street, Olathe, KS 66061 | 2017-06-01 |
| Find all providers in zip 66061 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033172150 | Preferred Pediatrics | Pediatrics | 824 W Frontier Ln, Olathe, KS 66061-7216 | 2006-04-10 |
| 1689640104 | Amy L Voelker | Pediatrics | 824 W Frontier Ln, Olathe, KS 66061-7216 | 2006-02-24 |
| 1366417453 | F. Lance Miller | Pediatrics | 824 W Frontier Ln, Olathe, KS 66061-7216 | 2006-02-22 |
| 1578538021 | Stuart G Shanker | Pediatrics | 824 W Frontier Ln, Olathe, KS 66061-7216 | 2006-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962548883 | Kansas University Physicians Inc | Pediatrics | 2026 Hc Miller, Mail Stop 4004 3901 Rainbow Blvd, Kansas City, KS 66160 | 2007-01-29 |
| 1962503839 | Patsy Barker Md Pa | Pediatrics | 315 N Hillside St Ste B, Wichita, KS 67214-4915 | 2006-09-25 |
| 1427056126 | Michael Alan Blum | Pediatrics | 7301 W 133rd St, Suite 102, Overland Park, KS 66213-4750 | 2005-07-07 |
| 1497025993 | Marged L Amend | Pediatrics | 1225 Rural St, Emporia, KS 66801-5539 | 2011-12-31 |
| 1932425378 | Michaela Marie Voss | Pediatrics | 5808 W 110th St, Overland Park, KS 66211-2504 | 2010-04-09 |
| 1285719807 | Steven Joseph Haug | Pediatrics | 1133 College Ave, Ste G-210, Manhattan, KS 66502-2770 | 2006-10-25 |
| 1942385653 | Graham Clifton Rose | Pediatrics | 1133 College Ave, Ste E-220, Manhattan, KS 66502-2770 | 2006-10-25 |
| 1275618993 | Greg A Biberstein | Pediatrics | 1133 College Ave, Ste E-220, Manhattan, KS 66502-2770 | 2006-10-25 |
| 1629153259 | Robert Mark Duff | Pediatrics | 1133 College Ave, Ste G-210, Manhattan, KS 66502-2770 | 2006-10-25 |
| 1770668311 | Jason R Gallagher | Pediatrics | 1133 College Ave, Ste G-210, Manhattan, KS 66502-2770 | 2006-10-25 |
| 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.